| Hawks Prairie Massage Clinic | |
|
8830 Tallon Ln Ne F Lacey WA 98516-6656 | |
| (360) 819-2877 | |
| Not Available |
| Full Name | Hawks Prairie Massage Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 8830 Tallon Ln Ne, Lacey, Washington |
| Authorized Official Name and Position | Jamil Ellinger (OWNER/REGISTERED AGENT) |
| Authorized Official Contact | 3609514893 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hawks Prairie Massage Clinic 8830 Tallon Ln Ne F Lacey WA 98516-6656 Ph: (360) 819-2877 | Hawks Prairie Massage Clinic 8830 Tallon Ln Ne F Lacey WA 98516-6656 Ph: (360) 819-2877 |
| NPI Number | 1013453554 |
|---|---|
| Provider Enumeration Date | 01/09/2017 |
| Last Update Date | 01/09/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013453554 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 603440613 (Washington) | Primary |
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