Individual provider · Type 1 NPI
Traci Ann Hibbard, LMP
Massage Therapist · Goldendale, WA
NPI number
1346597838
Active
Practice location
216 W Main Street
Goldendale, WA 98620-9587
Fax (509) 773-5844
Mailing address
216 W Main St
Goldendale, WA 98620-9587
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA60281480 |
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 1346597838
Traci Ann Hibbard, LMP's National Provider Identifier is 1346597838, issued on Aug 14, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Goldendale, WA. The record was last updated on Aug 14, 2012.