Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EVAN MIKEL HAGEN, ATC, PTA
ActiveEVAN MIKEL HAGEN, ATC, PTA is a Occupational Therapist healthcare provider located in LACEY, Washington. NPI 1356693634 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · LACEY, WA
Registration Details
- NPI Number
- 1356693634
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 10, 2012 (13.868208604236 yrs)
- Last Updated
- Oct 10, 2012
- Licenses
-
P1 60167096 (WA)A1 60030239 (WA)
Practice Information
- Address
-
2610 GREENLAWN ST SELACEY, WA, 985033736Browse WA providers · Browse ZIP 98503
- Phone
- 3607014573
- Primary Specialty
-
Occupational Therapist
225200000X
- Additional Specialty
- Athletic Trainer
Other Occupational Therapist Providers in LACEY, WA
| Name | Credential | NPI |
|---|---|---|
| KERRY HICKETHIER | PTA, ATC | 1912122201 |
| MICHAEL TAYLOR | — | 1265696686 |
| CHRISTIE HUMBERG | — | 1639484629 |
| RENAE GOODELL | PTA, LMP | 1861737025 |
| AMY RENEE HAMBLY | PTA | 1346770823 |
| AUSTIN P MCCORMACK | — | 1710748306 |
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.