Individual provider · Type 1 NPI

Jacob Andrew Hautala, LMT

Massage Therapist · Everett, WA

NPI number 1861367757 Active

Practice location

4322 Rucker Ave
Everett, WA 98203-2233

Call (425) 258-5454 Map

Mailing address

12009 State Ave
Marysville, WA 98271-8484

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMASS.MA.70044516 (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 1861367757

Jacob Andrew Hautala, LMT's National Provider Identifier is 1861367757, issued on Oct 9, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Everett, WA. The record was last updated on Oct 9, 2025.