Individual
HAWK P MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1445 GALAXY DR NE STE 301, LACEY, WA 98516-4754
(360) 456-1444
(360) 456-1883
Mailing address
1445 GALAXY DR NE STE 301, LACEY, WA 98516-4754
(360) 456-1444
(360) 456-1883
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60982973
WA
Other
Enumeration date
09/23/2019
Last updated
09/23/2019
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