Banyan Massage Hale

NPI #1245547090 in Hilo, Hawaii

Provider Information

NPI Number: 1245547090
Entity Type: Organization
Organization Name: Banyan Massage Hale
Primary Specialty: Massage Therapist
Enumeration Date: Aug 31, 2010
Last Updated: Aug 31, 2010

Practice Location

Address: 71 BANYAN DR STE 115
City: Hilo
State: Hawaii
ZIP Code: 96720-4693
Phone: (808) 969-1044

Authorized Official

Name: MELISSA CARDWELL
Title: GENERAL PARTNER
Phone: (808) 969-1044

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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