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NPI Code Detail

MEDICARE: REBEKKAH HOOVER LMT

MEDICARE: REBEKKAH HOOVER 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 TherapistMA61549063WA

General Provider Information

NPI Number : 1922843572
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBEKKAH HOOVER LMT
Provider Business Mailing Address
First Line : 17217 116TH PL NE
Second Line :
City : ARLINGTON
State : WA
Zip : 98223-7984
Country : US
Telephone Number : 757-305-7752
Fax Number :
Provider Business Practice Location Address
First Line : 610 BEACH AVE STE 1
Second Line :
City : MARYSVILLE
State : WA
Zip : 98270-4571
Country : US
Telephone Number : 425-422-1558
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2024
Last Update Date : 06/26/2024

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Directions to “ REBEKKAH HOOVER LMT” Practice Location

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