Individual
CASSIE MIYAMOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
932 WARD AVE STE 600, HONOLULU, HI 96814-2193
(808) 535-5555
Mailing address
1708 GLEN AVE, WAHIAWA, HI 96786-2618
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT-13424
HI
Other
Enumeration date
12/12/2014
Last updated
12/12/2014
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