Jake Edwin Hansen
Jake Edwin Hansen is an Athletic Trainer in Smithfield, Utah. Registered with an NPI since 2024.
- In the registry since
- 2024
- Specialties on file
- 3
Practice location Address checks out
368 E 400 SSmithfield, UT 84335-1349
Phone: (435) 850-2821
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Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X · Licence 2000055293 |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X |
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1730940818 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 17, 2024 |
| Last updated in NPPES | January 8, 2025 |
| Certification date | January 8, 2025 |
| Mailing address | 368 E 400 S, Smithfield, UT 84335-1349 |
Other providers in Smithfield
-
Curtis Steven Cazier, LAT, ATC
520 S 250 E, Smithfield, UT 84335-1626 · (435) 757-1318
-
Travis C Jackson, ATC-L
101 E 630 N Apt 20, Smithfield, UT 84335-9670 · (435) 760-1767