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MAUI MASSAGE & WELLNESS LLC

Other Service Providers Mechanotherapist

Provider NPI: 1336410794

Organization Information:
Organization Name:  MAUI MASSAGE & WELLNESS LLC
Organization is not Subpart
Authorized Official:  ERNESTO J PRADO  MASSAGE THERAPIST  808-669-4500

Practice Location:
3636 LOWER HONOAPIILANI RD STE 3  LAHAINA, HI 96761-5916 US
Tel: 808-669-4500  Fax: --

Business Mailing Address:
3636 LOWER HONOAPIILANI RD STE 3  LAHAINA, HI 96761-5916 US
Tel: 808-669-4500  Fax: --

NPI Information:
NPI: 1336410794
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y172M00000XOther Service Providers
Mechanotherapist
HIMAE2724

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 172M00000X

Type:

Classification:



Definition:



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