Individual
MICHAEL HACKENBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT, NCTMB
Contact information
Practice address
6743 S HIGH ST, CENTENNIAL, CO 80122-1331
(720) 891-8330
Mailing address
6743 S HIGH ST, CENTENNIAL, CO 80122-1331
(720) 891-8330
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0019939
CO
Other
Enumeration date
12/12/2019
Last updated
12/12/2019
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