IndividualActive
Benjamin Hanan, PTA
NPI 1396805495 · Physical Therapy Assistant · Onalaska, WI
Provider details
- NPI number
- 1396805495
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1359 (WI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
191 Theatre Rd
Onalaska, WI 54650-8679
Phone: (608) 392-5004
Fax: (608) 392-5791
Approximate (ZIP-level) locationGet directions
Mailing address
700 West Ave S
La Crosse, WI 54601-4783
Registry dates
- Enumerated
- 2006-12-11
- Last updated
- 2020-09-15
- Certified
- 2020-09-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.