Provider Demographics
NPI:1568624740
Name:TAMANAHA, ALLISON N (LMT)
Entity Type:Individual
Prefix:MISS
First Name:ALLISON
Middle Name:N
Last Name:TAMANAHA
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 1:3566 HARDING AVE
Mailing Address - Street 2:100
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-2457
Mailing Address - Country:US
Mailing Address - Phone:808-223-6408
Mailing Address - Fax:
Practice Address - Street 1:3566 HARDING AVE
Practice Address - Street 2:100
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96816-2457
Practice Address - Country:US
Practice Address - Phone:808-223-6408
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-27
Last Update Date:2008-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI8423225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist