Jacy Lynn Waiau, LMT

NPI #1881234243 in Kamuela, Hawaii

Provider Information

NPI Number: 1881234243
Entity Type: Individual
Name: Jacy Lynn Waiau, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Jan 13, 2020
Last Updated: Jan 13, 2020

Practice Location

Address: 64-1040 MAMALAHOA HWY STE 203
City: Kamuela
State: Hawaii
ZIP Code: 96743-8450
Phone: (808) 960-9295

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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