Jesse D Hannaford, LMP Valid NPI
Individual provider · Massage Therapist · Soap Lake, WA
- NPI
- 1740444892
- Type
- Individual (Type 1)
- Primary specialty
- Massage Therapist
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225700000X
- License number
- MA00013867 (WA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2008-07-17
- Last updated
- 2008-07-17
Practice location
318 Main Avenue East
Soap Lake, WA 98851-0318
(509) 246-1660