Individual
BRADLEY WATHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
4-356 KUHIO HIGHWAY, #113B, KAPAA, HI 96746
(530) 559-1664
Mailing address
5030 LAIPO ROAD, #B, KAPAA, HI 96746
(530) 559-1664
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT-18005
HI
Other
Enumeration date
07/26/2025
Last updated
07/26/2025
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