Individual
TYLER YAMAUCHI RAUTMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MAT-14666
Contact information
Practice address
7729 KOOLAU RD, KILAUEA, HI 96754
(808) 652-0563
Mailing address
PO BOX 718, KILAUEA, HI 96754-0718
(808) 652-0563
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14666
HI
Other
Enumeration date
04/09/2018
Last updated
04/09/2018
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