Individual provider · Type 1 NPI

Elisha Fawn Diedeerich

Massage Therapist · Pahoa, HI

NPI number 1689471963 Active

Practice location

12-7004 Hokuao St # 50
Pahoa, HI 96778-7892

Call (808) 557-8807 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMAT-8824 (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 1689471963

Elisha Fawn Diedeerich's National Provider Identifier is 1689471963, issued on Feb 25, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Pahoa, HI. The record was last updated on Feb 25, 2025.