Individual provider · Type 1 NPI
Collette Michelle Wilson, LMT
Massage Therapist · Pahala, HI
NPI number
1205994183
Active
Practice location
96-1100 Kamani Street
Pahala, HI 96777-0067
Mailing address
PO Box 67
Pahala, HI 96777-0067
Other practice locations
- 94-2166 South Point Road, Naalehu, HI 96772 · (808) 987-7490
- PO Box 721426, Naalehu, HI 96772-1119 · (808) 987-7490
- PO Box 67, Pahala, HI 96777-0067 · (808) 987-7490
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist | 225700000X | MA00021673 (WA) |
| Massage Therapist Primary | 225700000X | MAT-12043 (HI) |
Massage Therapist: 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.
About NPI 1205994183
Collette Michelle Wilson, LMT's National Provider Identifier is 1205994183, issued on Dec 5, 2006. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Pahala, HI. The record was last updated on Aug 26, 2026.