NPI 1639037682

Theo Hanson

Practitioner Health & Wellness Coach Nampa, ID

Practice location

Address: 7817 E Merganser Dr, Nampa, ID 83687-4836
Phone: (208) 353-1765

Registered specialties

Health & Wellness Coach Primary

Other Service Providers Taxonomy 171400000X

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Registry record

NPI: 1639037682
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Jan 2026
Record last updated: 9 Jan 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.