| Mr Glen Andrew Collen, LMT5268 LAC GC579 | |
|
1051 Keolu Dr, Enchanted Lakes Massage Clinic Suite 104, Kailua, HI 96734 | |
| (808) 262-6563 | |
| Not Available |
| Full Name | Mr Glen Andrew Collen |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 1051 Keolu Dr, Kailua, Hawaii |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275737520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 171100000X | Acupuncturist | 579LAC (Hawaii) | Primary |
| 225700000X | Massage Therapist | LMT5268 (Hawaii) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Glen Andrew Collen, LMT5268 LAC GC579 449 Kailua Rd, C3, Kailua, HI 96734 Ph: (808) 261-1024 | Mr Glen Andrew Collen, LMT5268 LAC GC579 1051 Keolu Dr, Enchanted Lakes Massage Clinic Suite 104, Kailua, HI 96734 Ph: (808) 262-6563 |
Tai Hawkins, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 516 Kaimake Loop, Kailua, HI 96734 Phone: 808-277-7347 | |
Nick Lautieri, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 337 Uluniu St Ste 202, Kailua, HI 96734 Phone: 757-663-6625 | |
Carol F Takemoto, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 407 Uluniu St, Kailua, HI 96734 Phone: 808-294-8043 | |
Samantha Nelson Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 131 Oko St Apt 5, Kailua, HI 96734 Phone: 808-779-9429 | |
Mr. Benjamin White, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 118 S Kainalu Dr, Kailua, HI 96734 Phone: 912-713-0719 | |
Mr. Kyler Hass Wood, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 407 Uluniu St Ste 311, Kailua, HI 96734 Phone: 808-261-4040 Fax: 808-261-4040 | |
Kathryn Huinker, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 320 Uluniu St Ste 2, Kailua, HI 96734 Phone: 808-722-5284 |