Individual
KEVIN NISHIMURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT, CKTP
Contact information
Practice address
619 KAPAHULU AVE., STE 209, HONOLULU, HI 96816-1495
(808) 228-6142
Mailing address
619 KAPAHULU AVE., STE 209, HONOLULU, HI 96816-1495
(808) 228-6142
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11974
HI
Other
Enumeration date
09/17/2012
Last updated
09/17/2012
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