MR. Robert C Hackett, BA, LMP
NPI #1295023109 in Bonney Lake, Washington
Provider Information
- NPI Number
- 1295023109
- Entity Type
- Individual
- Name
- MR. Robert C Hackett, BA, LMP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Credential
- BA, LMP
- Enumeration Date
- Jul 12, 2011
- Last Updated
- Jul 12, 2011
Practice Location
- Address
- 18209 SR 410 E STE 100
- City
- Bonney Lake
- State
- Washington
- ZIP Code
- 98391-5146
- Phone
- (253) 826-5500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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