Provider Demographics
NPI:1669704284
Name:ASATO, DEANNA (LMT)
Entity type:Individual
Prefix:MS
First Name:DEANNA
Middle Name:
Last Name:ASATO
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 1:94-870 LUMIAUAU ST
Mailing Address - Street 2:P205
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-4811
Mailing Address - Country:US
Mailing Address - Phone:808-277-0491
Mailing Address - Fax:
Practice Address - Street 1:94-1030 WAIPIO UKA ST
Practice Address - Street 2:SUITE 104
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-4084
Practice Address - Country:US
Practice Address - Phone:808-277-0491
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-06
Last Update Date:2010-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMAT-7632225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist