Doctor Name: | COLL K DANIEL |
NPI Number: | 1235308636 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMAT |
License Number: | 4596 |
Business Practice Address: | 460 Ena Rd #603 Honolulu, HI - 968151779 |
Business Phone Number: | 8087320888 |
Business Fax Number: | 8087376648 |
Mailing Address: | 4224 Waialae Ave, #525 HONOLULU |
State: | HI |
Postal Code: | 968165330 |
Phone Number: | 8087320888 |
Fax Number: | 8087376648 |
NPI Enumeration Date: | 02/29/2008 |
NPI Last Update Date: | 07/14/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 4596 |
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. |