Individual
CECILIA ROSE REILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
108 KANANI RD, APT. #401A, KIHEI, HI 96753-8791
(808) 214-7459
Mailing address
618 HANA HWY, PAIA, HI 96779-9733
(808) 214-7459
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT-5317
HI
Other
Enumeration date
11/06/2010
Last updated
11/18/2010
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