Organization
HILO BAY BODYWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM LEIGH JOHNSON LMT (PRINCIPLE MASSAGE THERAPIST)
(808) 315-2816
Entity
Organization
Contact information
Practice address
36 KOMOHANA ST, HILO, HI 96720-2008
(808) 315-2816
Mailing address
PO BOX 6868, HILO, HI 96720-8935
(808) 315-2816
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT-13763
HI
Other
Enumeration date
07/25/2014
Last updated
07/28/2014
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