| |
31 S Beretania St, Honolulu, HI 96813-2220 | |
(808) 524-8588 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Massage Therapist |
Location | 31 S Beretania St, Honolulu, Hawaii |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710363155 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | DC-622 (Hawaii) | Secondary |
207R00000X | Internal Medicine | MD-7549 (Hawaii) | Secondary |
225700000X | Massage Therapist | MAT-9888 (Hawaii) | Primary |
Mailing Address | Practice Location Address |
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31 S Beretania St, Honolulu, HI 96813-2220 Ph: (808) 524-8588 | 31 S Beretania St, Honolulu, HI 96813-2220 Ph: (808) 524-8588 |