Search › Pennsylvania › 2255A2300X
Tyler Hanson, MS, ATC, LAT
NPI 1073023792 · on the registry since 2017 · sole proprietor
Practice
- Address
- 120 Hardwood Dr
Lewisburg, PA 17837 - Phone
- (570) 556-4191
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-10-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania