Provider Demographics
NPI:1528358637
Name:HEAU, STEPHANIE FRANCES (LMT)
Entity Type:Individual
Prefix:MS
First Name:STEPHANIE
Middle Name:FRANCES
Last Name:HEAU
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 1:73-4329 HALEKOU PL
Mailing Address - Street 2:
Mailing Address - City:KAILUA KONA
Mailing Address - State:HI
Mailing Address - Zip Code:96740-9581
Mailing Address - Country:US
Mailing Address - Phone:808-896-6596
Mailing Address - Fax:
Practice Address - Street 1:73-4329 HALEKOU PL
Practice Address - Street 2:
Practice Address - City:KAILUA KONA
Practice Address - State:HI
Practice Address - Zip Code:96740-9581
Practice Address - Country:US
Practice Address - Phone:808-896-6596
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-10
Last Update Date:2011-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI6668225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist