Provider Demographics
NPI:1447452982
Name:HANSEN, TERRY JOHN (DC)
Entity type:Individual
Prefix:DR
First Name:TERRY
Middle Name:JOHN
Last Name:HANSEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9299 S BROADWAY
Mailing Address - Street 2:STE 100
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80129-5603
Mailing Address - Country:US
Mailing Address - Phone:303-683-3377
Mailing Address - Fax:
Practice Address - Street 1:9299 S BROADWAY
Practice Address - Street 2:STE 100
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80129-5603
Practice Address - Country:US
Practice Address - Phone:303-683-3377
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-05
Last Update Date:2016-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5172111N00000X
CO5795111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor