Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DOROTHY JANE HANNA, ATC, LMT
Active Sole ProprietorDOROTHY JANE HANNA, ATC, LMT is a Sports Medicine (PM&R) healthcare provider located in CHAMPLIN, Minnesota. NPI 1902310154 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · CHAMPLIN, MN
Registration Details
- NPI Number
- 1902310154
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 27, 2017 (8.7483568892938 yrs)
- Last Updated
- Nov 27, 2017
- Licenses
-
1839 (MN)1839 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10939 QUEBEC AVE NCHAMPLIN, MN, 553163261Browse MN providers · Browse ZIP 55316
- Phone
- 3204203723
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
- Additional Specialty
- Massage Therapist
- Additional Specialty
- Sports Medicine (PM&R)
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.