Provider Demographics
NPI:1730484502
Name:BARTHLOW, DANA M (LMT, NCTMB)
Entity Type:Individual
Prefix:MRS
First Name:DANA
Middle Name:M
Last Name:BARTHLOW
Suffix:
Gender:F
Credentials:LMT, NCTMB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1382 FRANK ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-1709
Mailing Address - Country:US
Mailing Address - Phone:808-218-2300
Mailing Address - Fax:
Practice Address - Street 1:1600 KAPIOLANI BLVD
Practice Address - Street 2:SUITE 224
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-3801
Practice Address - Country:US
Practice Address - Phone:808-277-8604
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-25
Last Update Date:2011-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMAT9057173C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173C00000XOther Service ProvidersReflexologist