IndividualActive
Jake Hansen
NPI 1730940818 · Athletic Trainer · Smithfield, UT
Provider details
- NPI number
- 1730940818
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Athletic Trainer2255A2300X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Student, Health Care
Practice location
368 E 400 S
Smithfield, UT 84335-1349
Phone: (435) 850-2821
Approximate (ZIP-level) locationGet directions
Mailing address
368 E 400 S
Smithfield, UT 84335-1349
Registry dates
- Enumerated
- 2024-01-17
- Last updated
- 2025-01-08
- Certified
- 2025-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.