Individual
HEIKE HACKNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
310 ROUTE 66 E, WAYNESVILLE, MO 65583-2648
(573) 774-3833
Mailing address
310 ROUTE 66 E, WAYNESVILLE, MO 65583-2648
(573) 512-1491
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2012024228
MO
Other
Enumeration date
05/19/2020
Last updated
05/19/2020
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