Kaitlin Hawkins Hansen, | |
13417 S Aintree Ave, Draper, UT 84020-8887 | |
(801) 335-4699 | |
Not Available |
Full Name | Kaitlin Hawkins Hansen |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 13417 S Aintree Ave, Draper, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790471662 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 13067373-4201 (Utah) | Primary |
Provider Name | Ihc Health Services Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079 |
Mailing Address | Practice Location Address |
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Kaitlin Hawkins Hansen, Po Box 30180, Salt Lake City, UT 84130-0180 Ph: () - | Kaitlin Hawkins Hansen, 13417 S Aintree Ave, Draper, UT 84020-8887 Ph: (801) 335-4699 |
Jeannise Marie Nichols, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2021 E Village Green Cir Ste C, Draper, UT 84020 Phone: 801-440-5592 | |
Kaylyn Ellis, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 12453 S 265 W Ste B, Draper, UT 84020 Phone: 801-443-7775 Fax: 801-447-0107 | |
Kari Armstrong, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 12453 S 265 W Ste B, Draper, UT 84020 Phone: 801-443-7775 Fax: 801-447-0107 | |
Mariah Bonet Leroux, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 12453 S 265 W Ste B, Draper, UT 84020 Phone: 801-443-7775 Fax: 801-447-0107 | |
Megan Brimhall, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 12453 S 265 W Ste B, Draper, UT 84020 Phone: 801-443-7775 | |
Jessica Goethals, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 12453 S 265 W Ste B, Draper, UT 84020 Phone: 801-443-7775 Fax: 801-447-0107 | |
Kassidy Lien Ha, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 12453 S 265 W Ste B, Draper, UT 84020 Phone: 801-443-7775 Fax: 801-447-0107 |