Individual
JACOB ETHAN HADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
10212 5TH AVE NE, SUITE 140, SEATTLE, WA 98125-7452
(206) 440-1634
(206) 374-8202
Mailing address
10212 5TH AVE NE, SUITE 140, SEATTLE, WA 98125-7452
(206) 440-1634
(206) 374-8202
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA 60111939
WA
Other
Enumeration date
01/21/2010
Last updated
01/21/2010
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