Provider Demographics
NPI:1295031177
Name:HASTINGS, HANNAH MAY (LMP)
Entity Type:Individual
Prefix:MS
First Name:HANNAH
Middle Name:MAY
Last Name:HASTINGS
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3902 SUNNYSIDE AVE N
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-8459
Mailing Address - Country:US
Mailing Address - Phone:608-606-9977
Mailing Address - Fax:
Practice Address - Street 1:1202 E PINE ST
Practice Address - Street 2:SUITE 103
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-3929
Practice Address - Country:US
Practice Address - Phone:206-329-2026
Practice Address - Fax:206-629-2101
Is Sole Proprietor?:No
Enumeration Date:2011-02-09
Last Update Date:2011-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60180032225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist