Peggy Brisbane, LMT
Mechanotherapist in Kailua Kona, HI. Individual provider (NPI-1).
NPI number1457803405
StatusActive
Last updated in NPPESOct 25, 2016
Details
- NPI
- 1457803405
- Entity type
- Individual (NPI-1)
- Name
- Peggy Brisbane
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 25, 2016
- Last updated
- Oct 25, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172M00000X | Mechanotherapist | – | – | Yes |
Practice location
75-5870 Walua RdSuite 101
Kailua Kona, HI 96740-1392
Phone 808-329-9553
Mailing address
77-361 Mele PlKailua Kona, HI 96740-9726
Phone 907-942-2451
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