Healthcare Provider Details

I. General information

NPI: 1922923044
Provider Name (Legal Business Name): DANIEL HAMILTON
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4264 PACIFIC HWY
BELLINGHAM WA
98226-9042
US

IV. Provider business mailing address

8929 BLAINE RD
BLAINE WA
98230-9305
US

V. Phone/Fax

Practice location:
  • Phone: 360-303-7363
  • Fax:
Mailing address:
  • Phone: 360-595-4346
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA70062190
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: