Individual
KELLY M RASMUSSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
415 ULUNIU ST, SUITE A, KAILUA, HI 96734-2503
(808) 292-0837
Mailing address
1366 MANU ALOHA ST, KAILUA, HI 96734-4314
(808) 292-0837
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT# 9643
HI
Other
Enumeration date
09/11/2008
Last updated
09/11/2008
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