Doctor Name: | ANGIE HAHN |
NPI Number: | 1619228467 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT |
License Number: | MAS1126 |
Business Practice Address: | 4810 N Kings Hwy Myrtle Beach, SC - 295772558 |
Business Phone Number: | 8434483390 |
Business Fax Number: | 8436929245 |
Mailing Address: | 4810 N Kings Hwy, MYRTLE BEACH |
State: | SC |
Postal Code: | 295772558 |
Phone Number: | 8434483390 |
Fax Number: | 8436929245 |
NPI Enumeration Date: | 09/19/2012 |
NPI Last Update Date: | 09/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MAS1126 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |