Individual
KAITLYN PRENTISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1437 KILAUEA AVE STE 103, HILO, HI 96720-4200
(808) 961-6888
Mailing address
440 IWALANI ST, HILO, HI 96720-5561
(808) 987-7161
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT-16058
HI
Other
Enumeration date
12/13/2022
Last updated
12/13/2022
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