Individual
TRACEY E. HAWK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
122 3RD ST NE, AUBURN, WA 98002-4098
(253) 833-7750
(253) 887-9804
Mailing address
122 3RD ST NE, AUBURN, WA 98002-4098
(253) 833-7750
(253) 887-9804
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT00008574
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
153593
LABOR & INDUSTRIES
WA
01
—
2253HA
REGENCE
WA
Enumeration date
01/06/2006
Last updated
07/08/2007
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