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

Jacquelyn Hanson, PTA

Individual provider Physical Therapy Assistant · NPI 1184018053

Jacquelyn Hanson, PTA is a Physical Therapy Assistant in Maplewood, Minnesota. Licensed in Minnesota. Registered with an NPI since 2015.

Licensed in
MN
In the registry since
2015
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

2000 White Bear Ave N
Maplewood, MN 55109-3713
Phone: (651) 251-2424
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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 A562 (MN)

Record details

NPI number1184018053
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedMarch 27, 2015
Last updated in NPPESMarch 27, 2015
Mailing address2000 White Bear Ave N, Maplewood, MN 55109-3713

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