Individual
SIDNEY LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
460 KAUHIKOA RD, HAIKU, HI 96708
(808) 769-7764
Mailing address
PO BOX 413, MAKAWAO, HI 96768-0413
(808) 769-7764
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14902
HI
Other
Enumeration date
12/07/2018
Last updated
12/07/2018
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