Individual
ELISABETH GRACE HACKING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
11930 SLATER AVE NE STE 201, KIRKLAND, WA 98034-4175
(425) 825-0255
Mailing address
8231 207TH ST SE, SNOHOMISH, WA 98296-8088
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
60690667
WA
Other
Enumeration date
01/10/2018
Last updated
01/10/2018
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