Individual
MR. BRADLEY DOUGLASS PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
81-6587 MAMALAHOA HWY, KEALAKEKUA, HI 96750-8133
(808) 323-3800
Mailing address
PO BOX 899, KEALAKEKUA, HI 96750-0899
(808) 987-3386
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7561
HI
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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