Provider Demographics
NPI:1003685231
Name:ALLISON, JANAKI JOIS (LMT)
Entity Type:Individual
Prefix:
First Name:JANAKI
Middle Name:JOIS
Last Name:ALLISON
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 940
Mailing Address - Street 2:
Mailing Address - City:CAPTAIN COOK
Mailing Address - State:HI
Mailing Address - Zip Code:96704-0940
Mailing Address - Country:US
Mailing Address - Phone:808-319-8896
Mailing Address - Fax:
Practice Address - Street 1:74-5614 PALANI RD FL 2
Practice Address - Street 2:
Practice Address - City:KAILUA KONA
Practice Address - State:HI
Practice Address - Zip Code:96740-1628
Practice Address - Country:US
Practice Address - Phone:808-319-8896
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-28
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMAT-15464225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist