Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. KATHLEEN I CLARK, LMT
ActiveMassage Therapist · WAIPAHU, HI
Registration Details
- NPI Number
- 1477785368
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 11, 2009 (16.73715860188 yrs)
- Last Updated
- Aug 11, 2009
- License
-
MAT 8855 (HI)
Practice Information
- Address
-
94-229 WAIPAHU DEPOT ST STE 301WAIPAHU, HI, 967973033Browse HI providers · Browse ZIP 96797
- Phone
- 8086717414
- Fax
- 8086717133
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in WAIPAHU, HI
| Name | Credential | NPI |
|---|---|---|
| MRS. MARIATERESA ARANAS GAJONERA | — | 1548345895 |
| MR. PAUL H KLEIN | LMT | 1598836942 |
| MS. HAZUKI T TAN | LMT | 1154461317 |
| MS. VICTORIA LUPUA KAIAMA | LICENSE | 1568581783 |
| VAN QUACH | — | 1497932974 |
| CARLA RUTH VILLAMOR | LMT | 1083872246 |
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.