Provider Demographics
NPI:1194360719
Name:HOOPII, KAUHI KELL (LMT)
Entity Type:Individual
Prefix:
First Name:KAUHI
Middle Name:KELL
Last Name:HOOPII
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4609 191ST PL NE
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98223-4781
Mailing Address - Country:US
Mailing Address - Phone:808-681-2089
Mailing Address - Fax:
Practice Address - Street 1:1507 172ND ST NE
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:WA
Practice Address - Zip Code:98271-5484
Practice Address - Country:US
Practice Address - Phone:360-652-7246
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-07
Last Update Date:2019-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist