Individual provider · Type 1 NPI
Bradley Wathen, LMT
Massage Therapist · Kapaa, HI
NPI number
1275416570
Active
Practice location
4-356 Kuhio Highway, #113B
Kapaa, HI 96746
Mailing address
5030 Laipo Road, #B
Kapaa, HI 96746
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MAT-18005 (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.
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About NPI 1275416570
Bradley Wathen, LMT's National Provider Identifier is 1275416570, issued on Jul 26, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Kapaa, HI. The record was last updated on Jul 26, 2025.