NPI 1093537680

David Allen Davidson, LMT

Practitioner Massage Therapist Kahului, HI

Practice location

Address: 95 Lono Ave STE 105, Kahului, HI 96732-1610
Phone: (808) 873-0733
Fax: (808) 873-9646
Mailing address: PO Box 1140, Makawao, HI 96768-1140

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MAT-17792 (HI)

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Registry record

NPI: 1093537680
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Oct 2024
Record last updated: 25 Oct 2024

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.