Provider Demographics
NPI:1528561644
Name:YUKIHIRO, RIE (LMT)
Entity Type:Individual
Prefix:
First Name:RIE
Middle Name:
Last Name:YUKIHIRO
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 1:1050 BISHOP ST # 255
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-4210
Mailing Address - Country:US
Mailing Address - Phone:808-397-3366
Mailing Address - Fax:833-288-5200
Practice Address - Street 1:94-1221 KA UKA BLVD.
Practice Address - Street 2:SUITE B-205
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797
Practice Address - Country:US
Practice Address - Phone:808-397-3366
Practice Address - Fax:833-288-5200
Is Sole Proprietor?:No
Enumeration Date:2018-03-15
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI13735225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist