Individual
SARAH SHAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
57 ILIWAI LOOP, KIHEI, HI 96753-7103
(808) 250-9079
Mailing address
PO BOX 1685, KIHEI, HI 96753-1685
(808) 250-9079
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6599
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6599
HAWAII MASSAGE LICENSE
HI
Enumeration date
01/21/2013
Last updated
01/21/2013
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