NPI 1578796470

John F Betlach, MT

Practitioner Specialist Kailua Kona, HI

Practice location

Address: 77-6425 Kuakini Hwy, Kailua Kona, HI 96740-3213
Phone: (808) 557-1420
Mailing address: PO Box 390562, Keauhou, HI 96739-0562

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence MASSAGE THER. #7144 (HI)

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Registry record

NPI: 1578796470
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Aug 2009
Record last updated: 26 Aug 2009

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.