Individual provider · Type 1 NPI
Kimberly Hackaday
Massage Therapist · Lawrenceville, GA
NPI number
1619769742
Active
Practice location
1557 Buford Dr Unit 491811
Lawrenceville, GA 30049-0137
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT011125 (GA) |
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 1619769742
Kimberly Hackaday's National Provider Identifier is 1619769742, issued on May 22, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lawrenceville, GA. The record was last updated on May 22, 2025.