Individual
MS. MICHELLE DIANE POPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
75-5656 KUAKINI HWY STE 101B, KAILUA KONA, HI 96740-1673
(808) 430-0129
(808) 326-9858
Mailing address
75-5656 KUAKINI HWY STE 101B, KAILUA KONA, HI 96740-1673
(808) 430-0129
(808) 326-9858
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT 4577
HI
Other
Enumeration date
07/19/2012
Last updated
07/19/2012
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