Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619769742 Individual Practitioner Female Practitioner

Kimberly Hackaday

Massage Therapist • Lawrenceville, GA

Professional Overview & Biography Verified Profile Summary

Kimberly Hackaday is a registered healthcare professional specializing in Massage Therapist in Lawrenceville, GA. Practice services are available at 1557 BUFORD DR UNIT 491811 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1557 Buford Dr Unit 491811

Lawrenceville, GA 300490137

Telephone 4129960843

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Lawrenceville, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
25 Specialists

Practicing in Lawrenceville, GA (1356 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-05-22
Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License GA MT011125

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 22, 2025

NPI status registered as active in NPPES database

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Updated Practice Location May 22, 2025

Registered at 1557 BUFORD DR UNIT 491811, LAWRENCEVILLE, GA 300490137 (Tel: 4129960843)

📍
Updated Business Mailing Address May 22, 2025

Registered at 1557 BUFORD DR UNIT 491811, LAWRENCEVILLE, GA 300490137

👤
Provider Name / Credentials Updated May 22, 2025

Recorded as KIMBERLY HACKADAY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 22, 2025

Massage Therapist (License #MT011125 in GA)

🟢
Initial NPI Registration & Enumeration May 22, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619769742
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 22, 2025
Last Update: May 22, 2025
Sole Proprietor: Yes

Mailing Address

1557 Buford Dr Unit 491811

Lawrenceville, GA 300490137

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.