Individual
MR. GLEN ANDREW COLLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT5268 LAC GC579
Contact information
Practice address
1051 KEOLU DR, ENCHANTED LAKES MASSAGE CLINIC SUITE 104, KAILUA, HI 96734
(808) 262-6563
Mailing address
449 KAILUA RD, C3, KAILUA, HI 96734
(808) 261-1024
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
579LAC
HI
225700000X
Massage Therapist
Primary
LMT5268
HI
Other
Enumeration date
06/12/2007
Last updated
09/11/2025
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