Individual
GLENN THERING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1221 KAPIOLANI BLVD STE 6A3, HONOLULU, HI 96814-3513
(808) 382-8836
Mailing address
PO BOX 235578, HONOLULU, HI 96823-3509
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT2925
HI
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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