Individual
JOHN MOTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC
Contact information
Practice address
3635 PIIKEA PL, MAKAWAO, HI 96768-9553
(808) 268-0278
Mailing address
3635 PIIKEA PL, MAKAWAO, HI 96768-9553
(808) 268-0278
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00696
OR
171100000X
Acupuncturist
ACU 936
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51-0485130
TAX-ID
OR
Enumeration date
02/15/2007
Last updated
05/26/2011
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