Provider Demographics
NPI:1225331077
Name:HEALTH IN MOTION LLC
Entity Type:Organization
Organization Name:HEALTH IN MOTION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER, PRINCIPAL MASSAGE THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMBRE
Authorized Official - Middle Name:LODUSCA
Authorized Official - Last Name:LINDSEY
Authorized Official - Suffix:
Authorized Official - Credentials:LMT(MAT #7086)
Authorized Official - Phone:808-889-1919
Mailing Address - Street 1:PO BOX 198900
Mailing Address - Street 2:PMB #122
Mailing Address - City:HAWI
Mailing Address - State:HI
Mailing Address - Zip Code:96719-8900
Mailing Address - Country:US
Mailing Address - Phone:808-889-1919
Mailing Address - Fax:
Practice Address - Street 1:55-3410 AKONI PULE HWY.
Practice Address - Street 2:
Practice Address - City:HAWI
Practice Address - State:HI
Practice Address - Zip Code:96719
Practice Address - Country:US
Practice Address - Phone:808-889-1919
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-17
Last Update Date:2010-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMAE 2528225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty