NPI 1033287479

Timothy John Hackett, LMBT

Practitioner Massage Therapist Raleigh, NC

Practice location

Address: 10141 Darling St, Raleigh, NC 27613-4153
Phone: (919) 696-2029

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 3012 (NC)

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Registry record

NPI: 1033287479
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Dec 2006
Record last updated: 29 Dec 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.