Provider Demographics
NPI:1194219626
Name:NGUYEN, HIEN THI (LMT,MTI,PMT,DSO)
Entity Type:Individual
Prefix:
First Name:HIEN
Middle Name:THI
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:LMT,MTI,PMT,DSO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1281 S KING ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-2254
Mailing Address - Country:US
Mailing Address - Phone:808-593-8866
Mailing Address - Fax:808-593-8866
Practice Address - Street 1:1281 S KING ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-2254
Practice Address - Country:US
Practice Address - Phone:808-593-8866
Practice Address - Fax:808-593-8035
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-18
Last Update Date:2018-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMAT-12626225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty