Individual
MICHAEL T CORSALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
75-5919 WALUA RD, KAILUA KONA, HI 96740-1375
(808) 556-3120
(808) 509-3170
Mailing address
75-5919 WALUA RD, KAILUA KONA, HI 96740-1375
(808) 556-3120
(808) 509-3170
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740931708
—
HI
Enumeration date
10/15/2025
Last updated
10/15/2025
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