Individual
KEN TAKEBAYASHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
725 KAPIOLANI BLVD STE C202, HONOLULU, HI 96813-6023
(808) 596-7200
Mailing address
3601 ALANI DR, HONOLULU, HI 96822-1415
(808) 741-2201
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT-12302
HI
Other
Enumeration date
07/20/2011
Last updated
07/20/2011
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