Individual
GLENDA SHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
94-689 FARRINGTON HWY, WAIPAHU, HI 96797-3015
(808) 676-7700
(808) 676-7708
Mailing address
94-689 FARRINGTON HWY, WAIPAHU, HI 96797-3015
(808) 676-7700
(808) 676-7708
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
PTA-141
HI
225700000X
Massage Therapist
Primary
MAT-11713
HI
Other
Enumeration date
06/09/2017
Last updated
07/21/2022
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