Individual
EMILY BURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
75-2935 MAMALAHOA HWY, CAPTAIN COOK, HI 96704
(808) 756-2900
Mailing address
PO BOX 810, HONAUNAU, HI 96726-0810
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT 14511
HI
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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