Provider Demographics
NPI:1700059235
Name:THE ALA MOANA MASSAGE SPECIALISTS, INC.
Entity Type:Organization
Organization Name:THE ALA MOANA MASSAGE SPECIALISTS, INC.
Other - Org Name:THE MASSAGE SPECIALISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBORA
Authorized Official - Middle Name:SUCHA
Authorized Official - Last Name:LOCQUIAO
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:808-941-8101
Mailing Address - Street 1:1750 KALAKAUA AVE
Mailing Address - Street 2:ST. 512
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96826-3766
Mailing Address - Country:US
Mailing Address - Phone:808-941-8101
Mailing Address - Fax:808-941-6101
Practice Address - Street 1:1750 KALAKAUA AVE
Practice Address - Street 2:ST. 512
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96826-3766
Practice Address - Country:US
Practice Address - Phone:808-941-8101
Practice Address - Fax:808-941-6101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-04
Last Update Date:2008-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMAE 884, 933225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty