Individual
RYAN HORNBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
81 MAKAWAO AVE STE 110, MAKAWAO, HI 96768-8859
(808) 572-2281
(808) 573-5869
Mailing address
81 MAKAWAO AVE STE 110, MAKAWAO, HI 96768-8859
(808) 572-2281
(808) 573-5869
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10272
HI
Other
Enumeration date
08/17/2010
Last updated
08/17/2010
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