Individual
ABIGAIL HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4625 ROAD M NE, MOSES LAKE, WA 98837-9120
(509) 793-8754
Mailing address
4625 ROAD M NE, MOSES LAKE, WA 98837-9120
(509) 793-8754
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
60889885
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60889885
WASHINGTON DEPARTMENT OF HEALTH
WA
Enumeration date
10/04/2018
Last updated
10/04/2018
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