NPI 1275127631

Raven Moss

Practitioner Massage Therapist Kaneohe, HI

Practice location

Address: 45-480 Kaneohe Bay Dr, Kaneohe, HI 96744-2039
Phone: (808) 524-3689
Mailing address: 45-112 Lilipuna Rd, Kaneohe, HI 96744-3020

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MAT-16509 (HI)

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Registry record

NPI: 1275127631
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Feb 2021
Record last updated: 25 Feb 2021

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.