Individual
RYAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2070 KILAUEA AVE, HILO, HI 96720-5233
(808) 769-1588
Mailing address
PO BOX 498, PAHOA, HI 96778-0498
(808) 769-1588
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13636
HI
Other
Enumeration date
02/06/2024
Last updated
02/06/2024
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