Individual
HEATHER BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
65-1692 KOHALA MOUNTAIN RD, KAMUELA, HI 96743-8476
(808) 881-4061
Mailing address
75-5660 KOPIKO ST, STE C-7 #339, KAILUA-KONA, HI 96740
(808) 283-8858
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-56
HI
Other
Enumeration date
03/07/2018
Last updated
03/07/2018
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