Provider Demographics
NPI:1437576121
Name:WOODWARD, THU (ACUPUNCTURIST)
Entity Type:Individual
Prefix:
First Name:THU
Middle Name:
Last Name:WOODWARD
Suffix:
Gender:F
Credentials:ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 KAMAKEE ST STE 416
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-4261
Mailing Address - Country:US
Mailing Address - Phone:808-292-5634
Mailing Address - Fax:
Practice Address - Street 1:401 KAMAKEE ST STE 416
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-4261
Practice Address - Country:US
Practice Address - Phone:808-292-5634
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-19
Last Update Date:2014-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIACU-959171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist