Individual
HEATHER BOLDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1827 WELLS ST, WAILUKU, HI 96793-2370
(503) 949-6439
Mailing address
44 KUPALAIKI LOOP, KIHEI, HI 96753-8119
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14364
HI
Other
Enumeration date
05/04/2017
Last updated
05/04/2017
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