MEDICARE: MARLA HANKEN CMT, BCSI, NBC-HWC

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	171400000X	Health & Wellness Coach
2	225700000X	Massage Therapist	9820	CA

General Provider Information

NPI Number	:	1275070864
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARLA HANKEN CMT, BCSI, NBC-HWC

Provider Business Mailing Address
First Line	:	4831 GEARY BLVD
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94118-2910
Country	:	US
Telephone Number	:	415-745-9471
Fax Number	:

Provider Business Practice Location Address
First Line	:	4831 GEARY BLVD
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94118-2910
Country	:	US
Telephone Number	:	415-745-9471
Fax Number	:

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

Provider Enumeration Date	:	01/20/2017
Last Update Date	:	07/17/2023

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