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

Mr. Miles Douglas Hansen Jr., ATC

Individual provider Athletic Trainer · NPI 1104414754

Mr. Miles Douglas Hansen Jr., ATC is an Athletic Trainer in Poughkeepsie, New York. Practices as a sole proprietor and works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2021
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

10 Daley Rd
Poughkeepsie, NY 12603-3225
Phone: (845) 546-2286
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 131 Boardman Rd, Poughkeepsie, NY 12603-4821 — (845) 463-0400

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 002176 (NY)

Record details

NPI number1104414754
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorYes
NPI enumeratedJanuary 8, 2021
Last updated in NPPESJanuary 8, 2021
Certification dateJanuary 8, 2021

Other providers in Poughkeepsie