Ivy R Rivera, MT

NPI #1992096333 in Mililani, Hawaii

Provider Information

NPI Number: 1992096333
Entity Type: Individual
Name: Ivy R Rivera, MT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: MT
Enumeration Date: Apr 19, 2011
Last Updated: Apr 19, 2011

Practice Location

Address: 95-720 LANIKUHANA AVE STE 140
City: Mililani
State: Hawaii
ZIP Code: 96789-2986
Phone: (808) 623-6244

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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