Healthcare Provider Details

I. General information

NPI: 1114233061
Provider Name (Legal Business Name): DEAN HAGER LMT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2010
Last Update Date: 04/19/2026
Certification Date: 04/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12320 ROUTE 30
IRWIN PA
15642-2590
US

IV. Provider business mailing address

12320 ROUTE 30
IRWIN PA
15642-2590
US

V. Phone/Fax

Practice location:
  • Phone: 412-401-3783
  • Fax:
Mailing address:
  • Phone: 412-401-3783
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMSG009715
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: