Individual
ANDREA LYNN HENKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
15-681 KAHAKAI BLVD, PAHOA, HI 96778-9559
(808) 657-7568
Mailing address
15-681 KAHAKAI BLVD, PAHOA, HI 96778-9559
(808) 657-7568
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
0014713
CO
225700000X
Massage Therapist
Primary
7155
HI
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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