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

Theo Hanson

Individual provider Health & Wellness Coach · NPI 1639037682

Theo Hanson is a Health & Wellness Coach in Nampa, Idaho. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

7817 E Merganser Dr
Nampa, ID 83687-4836
Phone: (208) 353-1765
Show map & directions

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

Specialties & licences

Health & Wellness Coach (primary) Taxonomy 171400000X

Record details

NPI number1639037682
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 9, 2026
Last updated in NPPESJanuary 9, 2026
Certification dateJanuary 9, 2026
Mailing address7817 E Merganser Dr, Nampa, ID 83687-4836

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