Individual
MRS. MICKAYLA MARIE MARKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAT
Contact information
Practice address
74-5620 PALANI RD STE 102, KAILUA KONA, HI 96740-3640
(907) 841-6725
Mailing address
73-4615 KOHANAIKI ROAD, KAILUA KONA, HI 96740
(907) 841-6725
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14508
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14508
MAT
HI
Enumeration date
01/30/2019
Last updated
01/30/2019
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