Kewala Tillak

NPI #1952035636 in Haleiwa, Hawaii

Provider Information

NPI Number: 1952035636
Entity Type: Individual
Name: Kewala Tillak
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Jul 10, 2022
Last Updated: Jul 10, 2022

Practice Location

Address: 66-387 PAALAA RD
City: Haleiwa
State: Hawaii
ZIP Code: 96712-1437
Phone: (808) 429-9505

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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