Individual
GRACE HALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
75-165 HUALALAI RD, KAILUA KONA, HI 96740-3722
(808) 329-0591
Mailing address
1050 FOXBOROUGH DR, WILLIAMSTON, MI 48895-9206
(517) 574-0059
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5501303121
MI
225100000X
Physical Therapist
Primary
PT-5994-0
HI
Other
Enumeration date
06/03/2024
Last updated
11/19/2024
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