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MS. JEANELLA KEOPUHIWA LMT

>> Massage Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1700929056

Individual Registrant:
MS. JEANELLA  KEOPUHIWA LMT
Gender: F
Not Sole Proprietor

Location and contact information for practice:
16590 B OLD VOLCANO RD  KEAAU, HI 96749 US
Tel: 808-967-7439  Fax: 808-967-8518

Contact information for business:
PO BOX 463  VOLCANO, HI 96785 US
Tel: 808-967-7439  Fax: 808-967-8518

Registration Information:
NPI: 1700929056
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225700000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Massage Therapist
HI3602

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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