Provider Demographics
NPI:1710239702
Name:KAPUNI, NINA CAISERMAN (LMT)
Entity Type:Individual
Prefix:MRS
First Name:NINA
Middle Name:CAISERMAN
Last Name:KAPUNI
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 1:161 E PALAI ST
Mailing Address - Street 2:
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-5634
Mailing Address - Country:US
Mailing Address - Phone:808-344-8942
Mailing Address - Fax:
Practice Address - Street 1:1208 KINOOLE ST.
Practice Address - Street 2:SUITE #203
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720
Practice Address - Country:US
Practice Address - Phone:808-344-8942
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-15
Last Update Date:2012-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMAT6328225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist