Organization · Type 2 NPI

Thai-Issan Therapeutic Massage, LLC

Massage Therapist · Honolulu, HI

NPI number 1457724387 Active

Practice location

655 Keeaumoku St Ste 102
Honolulu, HI 96814-3006

Call (808) 593-8866 Map

Fax (808) 593-8035

Mailing address

1281 S King St
Honolulu, HI 96814-2254

Specialties and licenses

Taxonomy	Code	License
Massage Therapist Primary	225700000X	MAT-8376 (HI)
Massage Therapist	225700000X	MAT-13238 (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.

Another provider at this address

Paul Westcott, LMTMassage Therapist Honolulu, HI NPI 1982062055

Other massage therapist providers in Honolulu

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NPI record

NPI: 1457724387
Entity type: Organization (Type 2)
Issued: Oct 30, 2015
Last updated: Nov 16, 2015
Status: Active
Subpart: Yes of Thai-Issan Therapeutic Massage, LLC

Other names

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Thai-Issan Massage Academy · doing business as

Authorized official

Ms. Sathiporn Songsorn, LMT, PMT, PDSO
President
(808) 593-8866

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1457724387

Thai-Issan Therapeutic Massage, LLC's National Provider Identifier is 1457724387, issued on Oct 30, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Honolulu, HI. The record was last updated on Nov 16, 2015.