| |
75-5852 Alii Dr, 166, Kailua Kona, HI 96740-1310 | |
(808) 334-0445 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Massage Therapist |
Location | 75-5852 Alii Dr, Kailua Kona, Hawaii |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619103900 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (* (Not Available)) | Secondary |
225700000X | Massage Therapist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
75-5852 Alii Dr, 166, Kailua Kona, HI 96740-1310 Ph: (808) 334-0445 | 75-5852 Alii Dr, 166, Kailua Kona, HI 96740-1310 Ph: (808) 334-0445 |