Provider Demographics
NPI:1265092985
Name:KOZLOWSKI, ALLISON M (LAC, LMT)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:M
Last Name:KOZLOWSKI
Suffix:
Gender:F
Credentials:LAC, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3016 UMI ST STE 207
Mailing Address - Street 2:
Mailing Address - City:LIHUE
Mailing Address - State:HI
Mailing Address - Zip Code:96766-1393
Mailing Address - Country:US
Mailing Address - Phone:808-779-2614
Mailing Address - Fax:808-356-0297
Practice Address - Street 1:3016 UMI ST STE 207
Practice Address - Street 2:
Practice Address - City:LIHUE
Practice Address - State:HI
Practice Address - Zip Code:96766-1393
Practice Address - Country:US
Practice Address - Phone:808-779-2614
Practice Address - Fax:808-356-0297
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-14
Last Update Date:2019-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMAT-14655225700000X
HIACU-1275171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist