Elijah Hansen

Athletic Trainer · Lawton, OK

Individual Active NPI

NPI number 1205445343

Practice location

2800 W Gore Blvd
Lawton, OK 73505-6320
Phone
(580) 581-2402

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NPI record

NPI
1205445343
Entity type
Individual (Type 1)
Enumeration date
July 24, 2020
Last updated
July 24, 2020
Certified
July 24, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X — —

Mailing address

619 Greene Ave.
Green Bay, WI 54301
Phone
(920) 412-2711

About Elijah Hansen

Elijah Hansen is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 2800 W Gore Blvd, Lawton, OK 73505-6320. The NPI number 1205445343 was assigned on July 24, 2020 and the record was last updated on July 24, 2020.

Frequently asked questions

What is the NPI number of Elijah Hansen?

The NPI number is 1205445343.

What is the phone number of Elijah Hansen?

The phone number listed for the practice location is (580) 581-2402.

Where is Elijah Hansen located?

2800 W Gore Blvd, Lawton, OK 73505-6320.

What is the taxonomy code for Elijah Hansen?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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