Most Relevant Information
Provider Data
| NPI Number: | 1003477571 |
| Provider Name: | ELISHA STARR SEVAREID LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 9005 |
Most Important Dates
| Enumeration Date: | 06/25/2019 |
| Last Updated: | 06/25/2019 |
Provider Practice Location
338 KAUILA ST
HILO
HI
967202133
Practice Location Phone/Fax
| Phone: | 8084431935 |
| Fax: |
Provider Mailing Location
PO BOX 85
HILO
HI
967210085
Provider Mailing Phone/Fax
| Phone: | 8084431935 |
| Fax: |