Individual
ALEA BACKUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
45-3318 KAMANI ST., HONOKAA, HI 96727
(808) 458-9553
Mailing address
PO BOX 276, PAAUILO, HI 96776-0276
(808) 358-9553
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT-17289
HI
Other
Enumeration date
11/03/2023
Last updated
11/03/2023
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