Provider Demographics
NPI:1912177957
Name:LYONSMASSAGE&BODYWORK
Entity Type:Organization
Organization Name:LYONSMASSAGE&BODYWORK
Other - Org Name:QUICKSPA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:REID
Authorized Official - Middle Name:KEN
Authorized Official - Last Name:LYONS
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:808-924-7845
Mailing Address - Street 1:427 NAHUA ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96815-2949
Mailing Address - Country:US
Mailing Address - Phone:808-924-7845
Mailing Address - Fax:
Practice Address - Street 1:427 NAHUA ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96815-2949
Practice Address - Country:US
Practice Address - Phone:808-924-7845
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-05
Last Update Date:2008-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMAT8565171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Multi-Specialty