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NPI Code Detail

MEDICARE: DEBRA HARTSFIELD L.M.P.

MEDICARE: DEBRA HARTSFIELD 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
1174400000XSpecialistMA00020159WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MA00020159OTHERWASTATE MASSAGE LISENCE #

General Provider Information

NPI Number : 1205000411
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBRA HARTSFIELD L.M.P.
Provider Business Mailing Address
First Line : 15027 AURORA AVE N
Second Line :
City : SHORELINE
State : WA
Zip : 98133-6134
Country : US
Telephone Number : 206-362-3520
Fax Number : 206-362-3520
Provider Business Practice Location Address
First Line : 15027 AURORA AVE N
Second Line :
City : SHORELINE
State : WA
Zip : 98133-6134
Country : US
Telephone Number : 206-362-3520
Fax Number : 206-362-3520
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2008
Last Update Date : 04/17/2008

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Directions to “ DEBRA HARTSFIELD L.M.P.” Practice Location

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