Individual
JACOB R TUFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
12-7002 HOKUAO ST, PAHOA, HI 96778-7892
(808) 965-9787
Mailing address
12-7002 HOKUAO ST, PAHOA, HI 96778-7892
(808) 965-9787
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT11184
HI
Other
Enumeration date
06/22/2011
Last updated
05/10/2016
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