Provider Demographics
NPI:1922307966
Name:MINDFUL FLOW LLC
Entity Type:Organization
Organization Name:MINDFUL FLOW LLC
Other - Org Name:MAKAI CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:A
Authorized Official - Last Name:FITZGERALD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:808-329-7900
Mailing Address - Street 1:74-5615 LUHIA ST
Mailing Address - Street 2:
Mailing Address - City:KAILUA KONA
Mailing Address - State:HI
Mailing Address - Zip Code:96740-3622
Mailing Address - Country:US
Mailing Address - Phone:808-329-7900
Mailing Address - Fax:808-329-7900
Practice Address - Street 1:74-5615 LUHIA ST
Practice Address - Street 2:
Practice Address - City:KAILUA KONA
Practice Address - State:HI
Practice Address - Zip Code:96740-3622
Practice Address - Country:US
Practice Address - Phone:808-329-7900
Practice Address - Fax:808-329-7900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-16
Last Update Date:2011-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1047261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty