Most Relevant Information
Provider Data
| NPI Number: | 1003053562 |
| Provider Name: | TAI HAWKINS LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 8588 |
Most Important Dates
| Enumeration Date: | 01/20/2009 |
| Last Updated: | 01/20/2009 |
Provider Practice Location
516 KAIMAKE LOOP
KAILUA
HI
967342022
Practice Location Phone/Fax
| Phone: | 8082777347 |
| Fax: |
Provider Mailing Location
516 KAIMAKE LOOP
KAILUA
HI
967342022
Provider Mailing Phone/Fax
| Phone: | 8082777347 |
| Fax: |