NPI 1003306614

Tracy Neil Takemoto

Practitioner Massage Therapist Kalaheo, HI

Practice location

Address: 2-2527 Kaumualii Hwy, Kalaheo, HI 96741-8309
Phone: (808) 332-5580
Mailing address: PO Box 945, Hanapepe, HI 96716-0945

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 15154 (HI)

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Registry record

NPI: 1003306614
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 May 2018
Record last updated: 18 May 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.