Most Relevant Information
Provider Data
| NPI Number: | 1003323197 |
| Provider Name: | ELISABETH GRACE HACKING LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 60690667 |
Most Important Dates
| Enumeration Date: | 01/10/2018 |
| Last Updated: | 01/10/2018 |
Provider Practice Location
11930 SLATER AVE NE STE 201
KIRKLAND
WA
980344175
Practice Location Phone/Fax
| Phone: | 4258250255 |
| Fax: |
Provider Mailing Location
8231 207TH ST SE
SNOHOMISH
WA
982968088
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |