MEDICARE: AMBER HASTINGS L.M.P.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	MA60523284	WA

General Provider Information

NPI Number	:	1174921902
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMBER HASTINGS L.M.P.

Provider Business Mailing Address
First Line	:	920 ALDERWOOD LN
Second Line	:
City	:	SEDRO WOOLLEY
State	:	WA
Zip	:	98284-9369
Country	:	US
Telephone Number	:	360-488-6994
Fax Number	:

Provider Business Practice Location Address
First Line	:	205 STEWART RD
Second Line	:	SUITE 108-2
City	:	MOUNT VERNON
State	:	WA
Zip	:	98273-9607
Country	:	US
Telephone Number	:	360-488-6994
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/10/2014
Last Update Date	:	05/13/2015

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Directions to “ AMBER HASTINGS L.M.P.” Practice Location

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