Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JENNIFER DIANE BRODERSON, L.M.T.
Active Sole ProprietorMRS. JENNIFER DIANE BRODERSON, L.M.T. is a Specialist healthcare provider located in KAILUA KONA, Hawaii. NPI 1437313046 is currently active in the NPPES registry. Verify at CMS.
Specialist · KAILUA KONA, HI
Registration Details
- NPI Number
- 1437313046
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 12, 2008 (17.947183905336 yrs)
- Last Updated
- Jul 12, 2008
- License
-
MAT10080 (HI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
74-5620 PALANI RDSUITE 102KAILUA KONA, HI, 967403640Browse HI providers · Browse ZIP 96740
- Phone
- 8083297797
- Fax
- 8083292748
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in KAILUA KONA, HI
| Name | Credential | NPI |
|---|---|---|
| ALICIA AMEDEN | LMT | 1821120817 |
| JOHN F BETLACH | M.T. | 1578796470 |
| SERENA D JARVIS | LMT | 1932430626 |
| VERENA GIESSER | LMT | 1174832737 |
| CHET GLENN | LMT | 1013288653 |
| MS. JUNKO N SHIELDS | — | 1790117851 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.