Individual
HEATHER LACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
970 N KALAHEO AVE STE C316, KAILUA, HI 96734-1883
(808) 488-5555
Mailing address
6274A PADILLA DR, KAILUA, HI 96734-4991
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15033
HI
Other
Enumeration date
01/04/2017
Last updated
01/04/2017
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