Provider Demographics
NPI:1770283889
Name:LIMAHAI MASSAGE THERAPY LLC
Entity type:Organization
Organization Name:LIMAHAI MASSAGE THERAPY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GABRIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:KAEA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-344-0367
Mailing Address - Street 1:3650 WAOKANAKA ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-5224
Mailing Address - Country:US
Mailing Address - Phone:808-344-0367
Mailing Address - Fax:808-744-9291
Practice Address - Street 1:1221 KAPIOLANI BLVD STE 310
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-3510
Practice Address - Country:US
Practice Address - Phone:808-368-1898
Practice Address - Fax:808-744-9291
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-07
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service