Individual
MR. JONATHAN MEAD RAYMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
40 KUPAOA ST # B-201, MAKAWAO, HI 96768-6215
(808) 872-0077
(808) 872-0177
Mailing address
411 HUKU LII PL STE 101, KIHEI, HI 96753-7062
(808) 879-0077
(808) 879-0177
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5707
HI
Other
Enumeration date
12/22/2005
Last updated
01/28/2025
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