MEDICARE: MS. ERIN S. HARDY 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	MA 60226165	WA

General Provider Information

NPI Number	:	1730443581
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ERIN S. HARDY L.M.P.

Provider Business Mailing Address
First Line	:	4133 24TH PL S
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98108-1508
Country	:	US
Telephone Number	:	206-898-5376
Fax Number	:

Provider Business Practice Location Address
First Line	:	4133 24TH PL S
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98108-1508
Country	:	US
Telephone Number	:	206-898-5376
Fax Number	:

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

Provider Enumeration Date	:	06/26/2012
Last Update Date	:	06/26/2012

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