Individual
KEAHI ELIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5621 NW 5TH AVE, MIAMI, FL 33127-1535
(561) 420-7832
Mailing address
5621 NW 5TH AVE, MIAMI, FL 33127-1535
(561) 420-7832
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA93690
FL
Other
Enumeration date
05/18/2021
Last updated
05/18/2021
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