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Ms. Susan Ina Bohannon, MASSAGETHERAPIST
Specialist in Wailuku, Hawaii
NPI 1366513418

Susan Ina Bohannon is a Specialist based in Paia, HI. Susan Ina Bohannon practices in Wailuku, HI and has the professional credentials of MASSAGETHERAPIST. The NPI Number for Susan Ina Bohannon is 1366513418 and holds a License No. MAT 6806 (Hawaii).

The current practice location address for Susan Ina Bohannon is 69 N Church St, Wailuku, HI and can be reached out via phone at 808-244-1164. You can also correspond with Susan Ina Bohannon through the mailing address at PO BOX 790326, PAIA, HI - 96779-0326 (mailing address contact number: 808-572-2115).

Location: 69 N Church St, Wailuku, HI, 96779-0326
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366513418
Provider Name
Susan Ina Bohannon
Credential
MASSAGETHERAPIST
Provider Entity Type
Individual
Gender
Female
Address
69 N Church St, Wailuku, HI, 96779-0326
Phone Number
808-244-1164
Fax Number
Provider Enumeration Date
11/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MAT 6806 01 HI MASSAGE THERAPIST #
institution
Provider Business Practice Location Address Details
Address
69 N Church St
City
Wailuku
State
Hawaii
Zip
96793-1611
Phone Number
808-244-1164
Fax Number
person
Provider Business Mailing Address Details
Address
69 N Church St
City
Wailuku
State
Hawaii
Zip
96793-1611
Phone Number
808-244-1164
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MAT 6806 (Hawaii)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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