Susanne Mackinnon, LMT

NPI #1871782367 in Paia, Hawaii

Provider Information

NPI Number: 1871782367
Entity Type: Individual
Name: Susanne Mackinnon, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Oct 19, 2007
Last Updated: Oct 19, 2007

Practice Location

Address: 42 BALDWIN AVE
City: Paia
State: Hawaii
ZIP Code: 96779
Phone: (808) 579-6070

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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