Provider Demographics
NPI:1255655015
Name:ALBINIO, MARAEA (LMT)
Entity Type:Individual
Prefix:MS
First Name:MARAEA
Middle Name:
Last Name:ALBINIO
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 1:941 ALA LILIKOI ST APT 304
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96818-2400
Mailing Address - Country:US
Mailing Address - Phone:619-755-0246
Mailing Address - Fax:
Practice Address - Street 1:401 KAMAKEE ST STE 404
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-4261
Practice Address - Country:US
Practice Address - Phone:619-755-0246
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-23
Last Update Date:2020-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMAT-9946225700000X
HIMAT- 9946225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist