IndividualActive
Kelli Hansen, LAT, ATC
NPI 1013572874 · Athletic Trainer · Afton, WY
Provider details
- NPI number
- 1013572874
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LAT, ATC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 115 (WY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
901 Adams St
Afton, WY 83110-9621
Phone: (307) 885-5800
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1482
Afton, WY 83110-1482
Registry dates
- Enumerated
- 2019-05-07
- Last updated
- 2019-05-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.