Doctor Name: | JAMIE HAUGEN |
NPI Number: | 1912301516 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | MA60510478 |
Business Practice Address: | 724 1st St Suite 204 Mukilteo, WA - 982751526 |
Business Phone Number: | 4254041548 |
Business Fax Number: | |
Mailing Address: | 11911 E Gibson Rd, #a1 EVERETT |
State: | WA |
Postal Code: | 982045702 |
Phone Number: | 4254041548 |
Fax Number: | |
NPI Enumeration Date: | 10/10/2014 |
NPI Last Update Date: | 08/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA60510478 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
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. |