Individual
DANIEL RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
161 MAA ST, KAHULUI, HI 96732-3603
(808) 270-1893
(808) 270-1892
Mailing address
161 MAA ST, KAHULUI, HI 96732-3603
(808) 270-1893
(808) 270-1892
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT-15158
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MAT-15158
STATE OF HAWAII
HI
Enumeration date
07/15/2021
Last updated
07/15/2021
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