Provider Demographics
NPI:1629848296
Name:FELIPE, MARCELA YZABELLE (MT)
Entity Type:Individual
Prefix:
First Name:MARCELA
Middle Name:YZABELLE
Last Name:FELIPE
Suffix:
Gender:F
Credentials:MT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1520 LILIHA ST STE 301
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-3563
Mailing Address - Country:US
Mailing Address - Phone:808-521-3617
Mailing Address - Fax:808-537-1578
Practice Address - Street 1:1520 LILIHA ST STE 301
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-3563
Practice Address - Country:US
Practice Address - Phone:808-521-3617
Practice Address - Fax:808-537-1578
Is Sole Proprietor?:No
Enumeration Date:2024-01-04
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist