Hackley, Tina M

Hackley, Tina M is an individual health care provider with primary practice located at 1400 49Th Ave Ne , Columbia Heights MN 55421-1939. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Hackley, Tina M can be contacted via phone (612) 839-0249.

Contact Information

Primary practice address
1400 49Th Ave Ne Columbia Heights MN 55421-1939
Phone: (612) 839-0249
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 1731 Minnesota

Profile Details

NPI number 1316002066
LBN Legal business name Hackley, Tina M
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2006
Last updated Feb 10th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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