Tyler Hanson, PT | |
305 S State St, Aberdeen, SD 57401-4527 | |
(605) 622-5000 | |
(605) 622-5255 |
Full Name | Tyler Hanson |
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Gender | Male |
Speciality | Physical Therapist |
Location | 305 S State St, Aberdeen, South Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225416191 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1683 (South Dakota) | Primary |
Provider Name | Avera St Lukes |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1215100813 PECOS PAC ID: 6406764927 Enrollment ID: O20040120000912 |
Mailing Address | Practice Location Address |
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Tyler Hanson, PT Po Box 4400, Aberdeen, SD 57402-4400 Ph: (605) 622-5000 | Tyler Hanson, PT 305 S State St, Aberdeen, SD 57401-4527 Ph: (605) 622-5000 |
Jason Gauer, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 305 S State St, Aberdeen, SD 57401 Phone: 605-622-5000 Fax: 605-622-5255 | |
Kerri Foss, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 305 S State St, Aberdeen, SD 57401 Phone: 605-622-5000 Fax: 605-622-5255 | |
Nicole Sumner, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 305 S State St, Aberdeen, SD 57401 Phone: 605-622-5000 Fax: 605-622-5255 | |
Mrs. Elaine Margaret Horner, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6 North Roosevelt Street, Aberdeen, SD 57401 Phone: 605-725-9900 Fax: 605-725-9902 | |
Brooke Erin Fontana, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 305 S State St, Aberdeen, SD 57401 Phone: 605-622-5000 Fax: 605-622-5255 | |
Kelly M Brennan, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 701 Th Ave Nw, Suite B, Aberdeen, SD 57401 Phone: 605-225-0430 Fax: 605-225-0876 | |
Meghan Michelle Weigel, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1700 N Highway 281, Aberdeen, SD 57401 Phone: 605-225-7315 |