NPI 1558808576

Beverly Grande Koki, MASSAGETHERAPIST

Practitioner Massage Therapist Kalaheo, HI

Practice location

Address: 2-2527 Kaumualii Hwy, Kalaheo, HI 96741-8309
Phone: (808) 332-5580
Mailing address: PO Box 150, Eleele, HI 96705-0150

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 14850 (HI)

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Registry record

NPI: 1558808576
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Jan 2017
Record last updated: 28 Jan 2017

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.