Individual
MS. AMY AXT HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2520 N ADAMS ST, TACOMA, WA 98406-5328
(253) 222-3651
Mailing address
923 N LAWRENCE ST, TACOMA, WA 98406-5510
(253) 222-3651
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
60058900
WA
225700000X
Massage Therapist
MA60058900
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA60058900
STATE LICENSE
WA
Enumeration date
12/22/2008
Last updated
09/25/2019
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