Provider Demographics
NPI:1114252509
Name:SCHINDLER, NICOLE LINDSEY (LMT)
Entity Type:Individual
Prefix:
First Name:NICOLE
Middle Name:LINDSEY
Last Name:SCHINDLER
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 792
Mailing Address - Street 2:
Mailing Address - City:MAKAWAO
Mailing Address - State:HI
Mailing Address - Zip Code:96768-0792
Mailing Address - Country:US
Mailing Address - Phone:808-283-0766
Mailing Address - Fax:808-572-1989
Practice Address - Street 1:30 MOKUAHI STREET
Practice Address - Street 2:
Practice Address - City:MAKAWAO
Practice Address - State:HI
Practice Address - Zip Code:96768
Practice Address - Country:US
Practice Address - Phone:808-283-0766
Practice Address - Fax:808-572-1989
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-02
Last Update Date:2009-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMAT 11517225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist