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

TaxonomyCodeLicense
Massage Therapist Primary 225700000XHACKERC434RP (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.

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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.