David Crockett, LAC, LMT

NPI #1215306485 in Makawao, Hawaii

Provider Information

NPI Number: 1215306485
Entity Type: Individual
Name: David Crockett, LAC, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: LAC, LMT
Enumeration Date: Sep 17, 2015
Last Updated: Sep 17, 2015

Practice Location

Address: 78 HAELE PL
City: Makawao
State: Hawaii
ZIP Code: 96768-8054
Phone: (808) 298-6417

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary
Massage Therapist	225700000X

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