MRS. JENNIFER DIANE BRODERSON L.M.T. NPI 1437313046

NPI Information

MRS. Jennifer Diane Broderson, L.M.T. is a specialist in Kailua Kona, HI. The provider is 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. MRS. Jennifer Diane Broderson, L.M.T. NPI is 1437313046. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

74-5620 PALANI RD
SUITE 102
KAILUA KONA, HI
ZIP 96740-640
Phone: (808) 329-7797
Fax: (808) 329-2748

The enumeration date for this NPI number is 7/12/2008 and was last updated on 7/12/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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