Most Relevant Information
Provider Data
| NPI Number: | 1003306614 |
| Provider Name: | TRACY NEIL TAKEMOTO |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 15154 |
Most Important Dates
| Enumeration Date: | 05/18/2018 |
| Last Updated: | 05/18/2018 |
Provider Practice Location
2-2527 KAUMUALII HWY
KALAHEO
HI
967418309
Practice Location Phone/Fax
| Phone: | 8083325580 |
| Fax: |
Provider Mailing Location
PO BOX 945
HANAPEPE
HI
967160945
Provider Mailing Phone/Fax
| Phone: | 8082175010 |
| Fax: |