Individual
JAMES MICHAEL HACKNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
650 TAFT ST NE, #400, MINNEAPOLIS, MN 55413-2832
(612) 331-1815
Mailing address
8901 OAKVIEW LN N, MAPLE GROVE, MN 55369-6556
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5777
MN
Other
Enumeration date
08/02/2006
Last updated
07/08/2007
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