| NPI | 1013661560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN KT CHANG Owner/Athletic Trainer 808-286-5708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 2255A2300X Specialist/Technologist Athletic Trainer |
| 225700000X Massage Therapist | |
| Enumeration Date | 2022-02-03 |
| Last Update Date | 2022-02-03 |