Scott Glenn Hawker, CMT, MMT

NPI #1205053261 in Blackfoot, Idaho

Provider Information

NPI Number: 1205053261
Entity Type: Individual
Name: Scott Glenn Hawker, CMT, MMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: CMT, MMT
Enumeration Date: Apr 19, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 285 W FRANCIS ST
City: Blackfoot
State: Idaho
ZIP Code: 83221-1751
Phone: (208) 785-0123

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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