Doctor Name: | KATHLEEN MARIE COYLE |
NPI Number: | 1073907754 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT |
License Number: | 3901 |
Business Practice Address: | 76-217 Keakealani Street Kailua Kona, HI - 96740 |
Business Phone Number: | 8083292940 |
Business Fax Number: | |
Mailing Address: | Po Box 3606, KAILUA KONA |
State: | HI |
Postal Code: | 967453606 |
Phone Number: | 8083292940 |
Fax Number: | |
NPI Enumeration Date: | 03/20/2015 |
NPI Last Update Date: | 03/26/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 3901 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |