IndividualActive
Dorothy Hanna, ATC, LMT
NPI 1902310154 · Sports Medicine (Physical Medicine & Rehabilitation) Physician · Champlin, MN
Provider details
- NPI number
- 1902310154
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Credential
- ATC, LMT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1839 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Massage Therapist225700000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
10939 Quebec Ave N
Champlin, MN 55316-3261
Phone: (320) 420-3723
Approximate (ZIP-level) locationGet directions
Mailing address
10939 Quebec Ave N
Champlin, MN 55316-3261
Registry dates
- Enumerated
- 2017-11-27
- Last updated
- 2017-11-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.