Tiffany Hackathorn, LMP
Massage Therapist in Seattle, WA. Individual provider (NPI-1).
NPI number1174809271
StatusActive
Last updated in NPPESNov 2, 2011
Details
- NPI
- 1174809271
- Entity type
- Individual (NPI-1)
- Name
- Tiffany Hackathorn
- Credential
- LMP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 2, 2011
- Last updated
- Nov 2, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MA00016839 | WA | Yes |
Practice location
8401 5th Ave NeSuite 102
Seattle, WA 98115-4180
Phone 206-619-8787
Mailing address
4513 Ne 95th StSeattle, WA 98115-2633
Phone 206-619-8787
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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