Individual
BENNETT A HARGETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
17090 AVONDALE WAY NE, REDMOND, WA 98052-4409
(425) 503-4953
Mailing address
827 MILLS PL NE, NORTH BEND, WA 98045-9440
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60253754
WA
Other
Enumeration date
04/24/2016
Last updated
04/24/2016
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