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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AUDREY JO HANSEN, ATC

Active

AUDREY JO HANSEN, ATC is a Athletic Trainer healthcare provider located in NORMAL, Illinois. NPI 1154381952 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · NORMAL, IL

Registration Details

NPI Number
1154381952
Provider Type
Individual
Gender
Female
NPI Issued
Mar 24, 2006 (20.205098041545 yrs)
Last Updated
Jul 8, 2007
License
09600175 (IL)

Practice Information

Address
205 HORTON
NORMAL, IL, 617905120
Browse IL providers · Browse ZIP 61790
Phone
3094385366
Fax
3094385559
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in NORMAL, IL

Name Credential NPI
MR. JOSEPH HADEN WHITSON ATC 1710955380
MS. KATHY M PLINE ATC/L 1972562510
MR. JOHN MUNN III MS, ATC 1134163769
TODD A MCLODA PHD, ATC 1114945185
DR. WILLIAM O KAUTH SR. PH.D, ATC 1134148323
MR. JUSTIN M. STANEK MS, ATC 1710907910
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.