Individual provider · Type 1 NPI

Nicole Camacho, MAT # 14948

Massage Therapist · Kailua Kona, HI

NPI number 1407378177 Active

Practice location

75-5759 Kuakini Hwy Ste 103E
Kailua Kona, HI 96740-1726

Mailing address

PO Box 1073
Captain Cook, HI 96704-1073

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X14948 (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 1407378177

Nicole Camacho, MAT # 14948's National Provider Identifier is 1407378177, issued on Jul 13, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Kailua Kona, HI. The record was last updated on Sep 29, 2026.