Healthcare Provider Details

I. General information

NPI: 1518287929
Provider Name (Legal Business Name): SARA LYN HURT LMP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SARAI LYN HURT LMP

II. Dates (important events)

Enumeration Date: 06/08/2010
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3319 108TH AVE E
EDGEWOOD WA
98372-2008
US

IV. Provider business mailing address

3319 108TH AVE E
EDGEWOOD WA
98372-2008
US

V. Phone/Fax

Practice location:
  • Phone: 346-580-1203
  • Fax:
Mailing address:
  • Phone: 346-580-1203
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA60014299
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: