Organization
ISLAND SPORTS CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AARIES T ODA D.C. (OWNER)
(808) 245-7100
Entity
Organization
Contact information
Practice address
3125 AKAHI ST, LIHUE, HI 96766-1106
(808) 245-7100
(808) 245-7260
Mailing address
3125 AKAHI ST, LIHUE, HI 96766-1106
(808) 245-7100
(808) 245-7260
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
W74733239-01
HI
Other
Enumeration date
10/23/2010
Last updated
10/23/2010
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