Individual
TANNER KAMISKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2430 OKA ST # B, KILAUEA, HI 96754-5332
(808) 828-2885
Mailing address
6277 KOOLAU RD, KAPAA, HI 96746
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16308
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W268317602
AETNA
GA
Enumeration date
09/16/2022
Last updated
09/16/2022
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