Individual
KAITLIN KODAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
94-216 FARRINGTON HWY # A-102, WAIPAHU, HI 96797-1922
(808) 600-9148
Mailing address
94-216 FARRINGTON HWY # A-102, WAIPAHU, HI 96797-1922
(808) 600-9148
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT-12487
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LMT-12487
LICENSE MASSAGE THERAPIST
HI
Enumeration date
10/20/2018
Last updated
10/20/2018
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