Individual
MS. KRISTIN SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
64-1040 MAMALAHOA HWY STE 201, KAMUELA, HI 96743-8450
(808) 896-7899
Mailing address
PO BOX 381, HOLUALOA, HI 96725-0381
(808) 324-1521
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT # 10970
HI
Other
Enumeration date
10/01/2008
Last updated
10/01/2008
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