Individual provider · Type 1 NPI

Jacqueline Nicole Deegan, LMT

Massage Therapist · Pahoa, HI

NPI number 1720223928 Active

Practice location

15-2891 Pahoa Village Rd.
Pahoa, HI 96778-8214

Call (808) 965-6623 Map

Mailing address

13-1233 Kahukai St
Pahoa, HI 96778-8214

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMAT 10071, MAE 2420 (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 1720223928

Jacqueline Nicole Deegan, LMT's National Provider Identifier is 1720223928, issued on Dec 3, 2008. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Pahoa, HI. The record was last updated on Dec 3, 2008.