Individual
ELISE KUTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT-12042
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MAT-12042
DCCA LICENSING BOARD
HI
Enumeration date
04/09/2019
Last updated
04/09/2019
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