Individual
KIMBERLY HACKADAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1557 BUFORD DR UNIT 491811, LAWRENCEVILLE, GA 30049-0137
(412) 996-0843
Mailing address
1557 BUFORD DR UNIT 491811, LAWRENCEVILLE, GA 30049-0137
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT011125
GA
Other
Enumeration date
05/22/2025
Last updated
05/22/2025
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