Individual
KACIE ENGUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
71 BALDWIN AVE, PAIA, HI 96779-8607
(808) 727-9075
Mailing address
782 LANINA PL, KIHEI, HI 96753-9311
(808) 727-9075
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16431
HI
Other
Enumeration date
11/02/2023
Last updated
11/02/2023
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