Provider Demographics
NPI:1619206299
Name:FINER, JONATHAN (MAT 3827)
Entity Type:Individual
Prefix:MR
First Name:JONATHAN
Middle Name:
Last Name:FINER
Suffix:
Gender:M
Credentials:MAT 3827
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 254
Mailing Address - Street 2:
Mailing Address - City:KIHEI
Mailing Address - State:HI
Mailing Address - Zip Code:96753-0254
Mailing Address - Country:US
Mailing Address - Phone:808-276-8295
Mailing Address - Fax:
Practice Address - Street 1:82 KULI PUU ST
Practice Address - Street 2:
Practice Address - City:KIHEI
Practice Address - State:HI
Practice Address - Zip Code:96753-7157
Practice Address - Country:US
Practice Address - Phone:808-276-8295
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-10
Last Update Date:2009-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMAT 3827225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist