Provider Demographics
NPI:1083471510
Name:ROYAL THAI MASSAGE AND SPA LLC
Entity Type:Organization
Organization Name:ROYAL THAI MASSAGE AND SPA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MASSAGE THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:YUWADEE
Authorized Official - Middle Name:SAIWAN
Authorized Official - Last Name:ARAKAKI
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:808-228-3461
Mailing Address - Street 1:458 MAWAWAI ST,
Mailing Address - Street 2:UNIT 305
Mailing Address - City:KAPOLEI
Mailing Address - State:HI
Mailing Address - Zip Code:96707
Mailing Address - Country:US
Mailing Address - Phone:808-228-3461
Mailing Address - Fax:
Practice Address - Street 1:540 MANAWAI ST APT 506
Practice Address - Street 2:
Practice Address - City:KAPOLEI
Practice Address - State:HI
Practice Address - Zip Code:96707-4542
Practice Address - Country:US
Practice Address - Phone:808-228-3461
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-01
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty