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NPI Code Detail

MEDICARE: LARA HARDOBY LMT

MEDICARE: LARA HARDOBY LMT
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
1225700000XMassage TherapistMA60597662WA

General Provider Information

NPI Number : 1588032338
Entity Type Code : Individual
Provider Name (Legal Business Name) : LARA HARDOBY LMT
Provider Business Mailing Address
First Line : 4423 S 3RD AVE STE 102
Second Line :
City : EVERETT
State : WA
Zip : 98203-2515
Country : US
Telephone Number : 253-250-5151
Fax Number : 425-426-0067
Provider Business Practice Location Address
First Line : 4423 S 3RD AVE STE 102
Second Line :
City : EVERETT
State : WA
Zip : 98203-2515
Country : US
Telephone Number : 253-250-5151
Fax Number : 425-426-0067
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2015
Last Update Date : 03/31/2026

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Directions to “ LARA HARDOBY LMT” Practice Location

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