Individual provider · Type 1 NPI

Dean Paul Nicklaw, LMT

Massage Therapist · Wailuku, HI

NPI number 1659412385 Active

Practice location

2045 Main St
Wailuku, HI 96793-1648

Call (808) 244-0312 Map

Fax (808) 242-6783

Mailing address

PO Box 2751
Wailuku, HI 96793-7751

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMAT1783 (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 1659412385

Dean Paul Nicklaw, LMT's National Provider Identifier is 1659412385, issued on Feb 8, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Wailuku, HI. The record was last updated on Jul 8, 2007.