Provider Demographics
NPI:1255176939
Name:NAKAJIMA, YOKO (LMT)
Entity type:Individual
Prefix:
First Name:YOKO
Middle Name:
Last Name:NAKAJIMA
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 1:1641 PALOLO AVE APT A3
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-2584
Mailing Address - Country:US
Mailing Address - Phone:808-220-0727
Mailing Address - Fax:
Practice Address - Street 1:C/O PALOLO HONGWANJI 1641 PALOLO AVE
Practice Address - Street 2:#3
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96816-2584
Practice Address - Country:US
Practice Address - Phone:808-220-0727
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-26
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI5813225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist