Individual provider · Type 1 NPI
Keltie J'nai Clevenger
Massage Therapist · Kapaa, HI
NPI number
1053955914
Active
Practice location
4-820 Kuhio Hwy Ste C-3
Kapaa, HI 96746-1588
Mailing address
PO Box 1724
Lihue, HI 96766-5724
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 16210 (HI) |
Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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About NPI 1053955914
Keltie J'nai Clevenger's National Provider Identifier is 1053955914, issued on Nov 4, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Kapaa, HI. The record was last updated on Nov 4, 2019.