Kari N Hanson, LMP

Individual provider Active NPI Massage Therapist · Buckley, WA

NPI 1629202155 · NPPES record last updated May 12, 2009

Key facts

NPI
1629202155
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
MA00021555 (WA)
Practice address
16707 258TH Ave E
Buckley, WA 98321-8975
Phone
(253) 569-9676
NPI assigned
May 12, 2009
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MA00021555WAMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA00021555 WA Yes

Addresses

Primary practice location

16707 258TH Ave E
Buckley, WA 98321-8975

Mailing address

16707 258TH Ave E
Buckley, WA 98321-8975
Phone (253) 569-9676

Other providers in Buckley, WA

All providers in Buckley, WA · Massage Therapist in Washington

Sources for this page

Verify at the official NPI Registry.