Individual
TERRA K SUTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT LICENSED MASSAGE
Contact information
Practice address
54-3877 AKONI PULE HWY, SUITE # 4, KAPAAU, HI 96755
(808) 889-1010
(800) 378-0367
Mailing address
PO BOX 1080, KAPAAU, HI 96755-1080
(808) 889-1010
(800) 378-0367
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT5649
HI
Other
Enumeration date
07/10/2007
Last updated
07/12/2007
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