| Kimberly Hackaday, | |
|
1557 Buford Dr Unit 491811, Lawrenceville, GA 30049-0137 | |
| (412) 996-0843 | |
| Not Available |
| Full Name | Kimberly Hackaday |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 1557 Buford Dr Unit 491811, Lawrenceville, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619769742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | MT011125 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Hackaday, 1557 Buford Dr Unit 491811, Lawrenceville, GA 30049-0137 Ph: Not Available | Kimberly Hackaday, 1557 Buford Dr Unit 491811, Lawrenceville, GA 30049-0137 Ph: (412) 996-0843 |
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