Traci Ann Hibbard, LMP Valid NPI

Individual provider · Massage Therapist · Goldendale, WA

NPI

1346597838

Type

Individual (Type 1)

Primary specialty

Massage Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225700000X

License number

MA60281480

Sex

Female

Sole proprietor

No

Enumerated

2012-08-14

Last updated

2012-08-14