Stacy Hansen, PT
Individual provider Active NPI Physical Therapist · Aberdeen, SD
NPI 1407008402 · NPPES record last updated May 18, 2015
Key facts
- NPI
- 1407008402
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1197 (SD)
- Practice address
- 305 S State St
Aberdeen, SD 57401-4527 - Phone
- (605) 622-5000
- Fax
- (605) 622-5255
- NPI assigned
- Oct 21, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1197 | SD | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1197 | SD | Yes |
Addresses
Primary practice location
305 S State St
Aberdeen, SD 57401-4527
Mailing address
PO Box 4400
Aberdeen, SD 57402-4400
Phone (605) 622-5000
Other providers in Aberdeen, SD
- Lindsay Habeck
- Austin D Halfpop
- Kelsi A Hamiel
- Rocky Hand
- Victoria Hanline
- Angie Hanson
- Delaney Kathryn Hanson
- Tage Frances Hanson
- Taylor Jo Hanson
- Ty O Hanson
All providers in Aberdeen, SD · Physical Therapist in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 18, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.