| Gary Leroy Hackney, | |
|
310 Route 66 E, Waynesville, MO 65583-2648 | |
| (573) 855-1213 | |
| Not Available |
| Full Name | Gary Leroy Hackney |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 310 Route 66 E, Waynesville, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609499185 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 2012024227 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gary Leroy Hackney, 310 Route 66 E, Waynesville, MO 65583-2648 Ph: (573) 855-1213 | Gary Leroy Hackney, 310 Route 66 E, Waynesville, MO 65583-2648 Ph: (573) 855-1213 |
Heike Hackney, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 310 Route 66 E, Waynesville, MO 65583 Phone: 573-774-3833 | |
Addison James Reiser, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 310 Route 66 E, Waynesville, MO 65583 Phone: 573-774-3833 |