NPI 1013288653

Chet Glenn, LMT

Practitioner Specialist Kailua Kona, HI

Practice location

Address: 75-233 Nani Kailua Dr #129, Kailua Kona, HI 96740-2033
Phone: (808) 329-1830
Fax: (808) 329-1830

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 3332 (HI)

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Registry record

NPI: 1013288653
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Jan 2012
Record last updated: 12 Jan 2012

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.