Individual
KELLEY RASCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12-7002 HOKUAO ST, PAHOA, HI 96778-7892
(808) 987-4720
Mailing address
PO BOX 810, PAHOA, HI 96778-0810
(808) 987-4720
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14859
HI
Other
Enumeration date
04/08/2019
Last updated
04/08/2019
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