Kauai Athletic Club is located in the office buildings near Kukui Grove Shopping Center (the island's biggest mall). They have a little cafe with natural, healthy food options as well as a well-rounded gym. Their equipment is in good repair and works well, featuring enough variations to keep fitness buffs happy. Membership is a little expensive, but decent.
Pros: Cafe with "healthy" food, good exercise equipment
Cons: Expensive membership
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