Provider Demographics
NPI:1447531728
Name:HANSLEY, ANNE JACK
Entity type:Individual
Prefix:MS
First Name:ANNE
Middle Name:JACK
Last Name:HANSLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:ANNE
Other - Middle Name:LAURIE
Other - Last Name:JACK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:310 7TH AVE E
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28792-3706
Mailing Address - Country:US
Mailing Address - Phone:828-692-5329
Mailing Address - Fax:828-692-1258
Practice Address - Street 1:310 7TH AVE E
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28792-3706
Practice Address - Country:US
Practice Address - Phone:828-692-5329
Practice Address - Fax:828-692-1258
Is Sole Proprietor?:No
Enumeration Date:2011-08-31
Last Update Date:2011-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC225000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225000000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotic Fitter