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Chad Adolpho

Massage Therapist in Wailuku, HI. Individual provider (NPI-1).

NPI number1669973863
StatusActive
Last updated in NPPESFeb 22, 2018

Details

NPI
1669973863
Entity type
Individual (NPI-1)
Name
Chad Adolpho
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 22, 2018
Last updated
Feb 22, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist14774HIYes

Practice location

95 Mahalani Street
Room 21
Wailuku, HI 96793

Phone 808-244-4647

Mailing address

95 Mahalani St
Wailuku, HI 96793-2521

Phone 808-244-4647

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