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

Elijah Hansen

Individual provider Athletic Trainer · NPI 1205445343

Elijah Hansen is an Athletic Trainer in Lawton, Oklahoma. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

2800 W Gore Blvd
Lawton, OK 73505-6320
Phone: (580) 581-2402
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1205445343
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 24, 2020
Last updated in NPPESJuly 24, 2020
Certification dateJuly 24, 2020
Mailing address619 Greene Ave., Green Bay, WI 54301

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