| NPI | 1811585524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW G. MATHIS Principal Massage Therapist 808-489-8897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2021-01-07 |
| Last Update Date | 2021-01-07 |