Provider Demographics
NPI:1124333877
Name:BADUA, NADIA YUN (MASSAGE THERAPY)
Entity type:Individual
Prefix:
First Name:NADIA
Middle Name:YUN
Last Name:BADUA
Suffix:
Gender:F
Credentials:MASSAGE THERAPY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1302 AINAPUA ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96819-1620
Mailing Address - Country:US
Mailing Address - Phone:808-833-4820
Mailing Address - Fax:808-833-4820
Practice Address - Street 1:1413 S KING ST STE 210
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-2505
Practice Address - Country:US
Practice Address - Phone:808-944-1004
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-18
Last Update Date:2010-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMAT11000225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist