Individual
MEGAN RENATE WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, LMT
Contact information
Practice address
15-1927 2ND AVE, KEAAU, HI 96749
(630) 677-9663
Mailing address
PO BOX 1239, KEAAU, HI 96749-1239
(630) 677-9663
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT-17647-0
HI
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
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