Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dylan Michael Hanna

Individual provider Physical Therapy Assistant · NPI 1104439546

Dylan Michael Hanna is a Physical Therapy Assistant in Jacksonville, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2020
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Practice location Address checks out

6170 County Road 1405
Jacksonville, TX 75766-7601
Phone: (903) 721-4162
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2157674 (TX)

Record details

NPI number1104439546
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 25, 2020
Last updated in NPPESAugust 25, 2020
Certification dateAugust 25, 2020
Mailing address6170 County Road 1405, Jacksonville, TX 75766-7601

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