Individual
MS. DEBORAH A HANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
78 S MARKET BLVD, CHEHALIS, WA 98532-3036
(360) 748-2246
Mailing address
78 S MARKET BLVD, CHEHALIS, WA 98532-3036
(360) 748-2246
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00005116
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
601341684
STATE OF WASHINGTION
WA
Enumeration date
01/31/2007
Last updated
02/21/2013
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