Individual provider · Type 1 NPI

Glen Andrew Collen, LMT5268 LAC GC579

Massage Therapist · Kailua, HI

NPI number 1275737520 Active

Practice location

1051 Keolu Dr, Enchanted Lakes Massage Clinic Suite 104
Kailua, HI 96734

Call (808) 262-6563 Map

Mailing address

449 Kailua Rd, C3
Kailua, HI 96734

Specialties and licenses

TaxonomyCodeLicense
Acupuncturist 171100000X579LAC (HI)
Massage Therapist Primary 225700000XLMT5268 (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.

3 other providers at this address

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About NPI 1275737520

Glen Andrew Collen, LMT5268 LAC GC579's National Provider Identifier is 1275737520, issued on Jun 12, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Kailua, HI. The record was last updated on Sep 11, 2025.