Provider Demographics
NPI:1821832353
Name:KNEAD A MASSAGE LLP
Entity type:Organization
Organization Name:KNEAD A MASSAGE LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO- OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:STERLING
Authorized Official - Middle Name:PALIKAPU
Authorized Official - Last Name:CORIA
Authorized Official - Suffix:
Authorized Official - Credentials:MT
Authorized Official - Phone:808-800-7369
Mailing Address - Street 1:354 ULUNIU ST STE 404A
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-2533
Mailing Address - Country:US
Mailing Address - Phone:808-800-7369
Mailing Address - Fax:
Practice Address - Street 1:354 ULUNIU ST STE 404A
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-2533
Practice Address - Country:US
Practice Address - Phone:808-800-7369
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-20
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty