Individual
KEITH CASEY HOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3092 AKAHI ST, LIHUE, HI 96766-1103
(808) 635-3726
Mailing address
6928 POMAIKAI ST, KAPAA, HI 96746-9354
(808) 821-1393
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6500
HI
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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