Individual
ANNE NUTTALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
71 BANYAN DR., SUITE 115, HILO, HI 96720
(808) 969-1044
Mailing address
71 BANYAN DR., SUITE 115, HILO, HI 96720
(808) 969-1044
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8073
HI
Other
Enumeration date
01/08/2014
Last updated
01/08/2014
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