MR. GLEN COLLEN, LMT5268 LAC GC579

Massage Therapist

Active Individual
NPI: 1275737520

Practice Address

1051 KEOLU DR
ENCHANTED LAKES MASSAGE CLINIC SUITE 104
Kailua, HI 96734

Phone: (808) 262-6563

Specialties

Specialty Code Primary License
Acupuncturist 171100000X No 579LAC (HI)
Massage Therapist 225700000X Yes LMT5268 (HI)

Frequently Asked Questions

NPI 1275737520 is the National Provider Identifier for MR. GLEN COLLEN, LMT5268 LAC GC579, a Massage Therapist provider located in Kailua, HI. This NPI was enumerated on June 12, 2007.
MR. GLEN COLLEN, LMT5268 LAC GC579 practices at 1051 KEOLU DR, ENCHANTED LAKES MASSAGE CLINIC SUITE 104, Kailua, HI 96734.

Quick Facts

NPI
1275737520
Type
Individual
Enumerated
Jun 12, 2007
Last Updated
Sep 11, 2025

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