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

JAKE EDWIN HANSEN

Active

JAKE EDWIN HANSEN is a Athletic Trainer healthcare provider located in SMITHFIELD, Utah. NPI 1730940818 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · SMITHFIELD, UT

Registration Details

NPI Number
1730940818
Provider Type
Individual
Gender
Male
NPI Issued
Jan 17, 2024 (2.3986285443984 yrs)
Last Updated
Jan 8, 2025
License
2000055293

Practice Information

Address
368 E 400 S
SMITHFIELD, UT, 843351349
Browse UT providers · Browse ZIP 84335
Phone
4358502821
Primary Specialty
Athletic Trainer
2255A2300X
Additional Specialty
Athletic Trainer

Other Athletic Trainer Providers in SMITHFIELD, UT

Name Credential NPI
TRAVIS C JACKSON ATC-L 1528345212
CURTIS STEVEN CAZIER LAT, ATC 1346793759
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.