Individual
KIMBERLY MARIE LAATSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
75-5929 ALII DR, KAILUA KONA, HI 96740-1323
(808) 640-0505
Mailing address
PO BOX 391180, KEAUHOU, HI 96739-1180
(808) 640-0505
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT 7334
HI
Other
Enumeration date
08/28/2008
Last updated
08/28/2008
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