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King Wittman, LMT

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

NPI number1982140778
StatusActive
Last updated in NPPESJan 17, 2017

Details

NPI
1982140778
Entity type
Individual (NPI-1)
Name
King Wittman
Credential
LMT
Sex
Male
Sole proprietor
No
Enumeration date
Jan 17, 2017
Last updated
Jan 17, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist14939HIYes

Other names

  • Ize Goodfriend (Other Name)

Practice location

40 N Market St
Wailuku, HI 96793-1718

Phone 808-242-8788 · Fax 808-242-8788

Mailing address

40 N Market St
Wailuku, HI 96793-1718

Phone 808-242-8788 · Fax 808-242-8788

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