Mr Timothy John Hackett, LMBT | |
10141 Darling St, Raleigh, NC 27613-4153 | |
(919) 696-2029 | |
Not Available |
Full Name | Mr Timothy John Hackett |
---|---|
Gender | Male |
Speciality | Massage Therapist |
Location | 10141 Darling St, Raleigh, North Carolina |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033287479 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | 3012 (North Carolina) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Timothy John Hackett, LMBT 10141 Darling St, Raleigh, NC 27613-4153 Ph: (919) 696-2029 | Mr Timothy John Hackett, LMBT 10141 Darling St, Raleigh, NC 27613-4153 Ph: (919) 696-2029 |
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