Individual provider · Type 1 NPI

Timothy Samuel, LMT

Massage Therapist · Kailua Kona, HI

NPI number 1336714310 Active

Practice location

75-5995 Kuakini Hwy Ste 603A
Kailua Kona, HI 96740-2124

Mailing address

PO Box 1240
Kealakekua, HI 96750-1240

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMAT16589 (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 1336714310

Timothy Samuel, LMT's National Provider Identifier is 1336714310, issued on May 23, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Kailua Kona, HI. The record was last updated on May 23, 2021.