Provider Demographics
NPI:1629590815
Name:HALE LAPAAU SKIN AND BODY LLC
Entity Type:Organization
Organization Name:HALE LAPAAU SKIN AND BODY LLC
Other - Org Name:HALE LAPAAU SKIN AND BODY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ LICENSED MASSAGE THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:TIARE
Authorized Official - Middle Name:N T
Authorized Official - Last Name:YANAGI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-367-3397
Mailing Address - Street 1:PO BOX 6246
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-9171
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1051 KEOLU DR STE 104
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-3800
Practice Address - Country:US
Practice Address - Phone:808-367-3397
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-10
Last Update Date:2017-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMAT-10756225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty