Jill Marie Richardson, MASSAGE MAT 5245

NPI #1598522369 in Kapaa, Hawaii

Provider Information

NPI Number: 1598522369
Entity Type: Individual
Name: Jill Marie Richardson, MASSAGE MAT 5245
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: MASSAGE MAT 5245
Enumeration Date: Feb 28, 2024
Last Updated: Feb 28, 2024

Practice Location

Address: 4569 KUKUI ST STE 201
City: Kapaa
State: Hawaii
ZIP Code: 96746-1775
Phone: (808) 651-0717

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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