NPI 1003463373

Blaine Kk Caceres, LICENSEDMASSAGETHE

Practitioner Massage Therapist Hilo, HI

Practice location

Address: 475 Awa St, Hilo, HI 96720-5809
Phone: (808) 960-9941

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 15734 (HI)

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Registry record

NPI: 1003463373
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Aug 2019
Record last updated: 21 Aug 2019

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.