Individual provider · Type 1 NPI
Robert C. Hackett, BA, LMP
Massage Therapist · Bonney Lake, WA
NPI number
1295023109
Active
Practice location
18209 Sr 410 E Ste 100
Bonney Lake, WA 98391-5146
Mailing address
730 Gravity Way
Buckley, WA 98321-9425
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | HACKERC434RP (WA) |
Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
Another provider at this address
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About NPI 1295023109
Robert C. Hackett, BA, LMP's National Provider Identifier is 1295023109, issued on Jul 12, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bonney Lake, WA. The record was last updated on Jul 12, 2011.