Provider Demographics
NPI:1932407434
Name:GIFTED HANDS MASSAGE THERAPY, LLC
Entity Type:Organization
Organization Name:GIFTED HANDS MASSAGE THERAPY, LLC
Other - Org Name:BONNIE L. JONES
Other - Org Type:Other Name
Authorized Official - Title/Position:FOUNDER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BONNIE
Authorized Official - Middle Name:LISA
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:BASS, LMT
Authorized Official - Phone:808-326-1971
Mailing Address - Street 1:PO BOX 5056
Mailing Address - Street 2:
Mailing Address - City:KAILUA KONA
Mailing Address - State:HI
Mailing Address - Zip Code:96745-5056
Mailing Address - Country:US
Mailing Address - Phone:808-326-1971
Mailing Address - Fax:
Practice Address - Street 1:75-5995 KUAKINI HWY
Practice Address - Street 2:SUITE 603
Practice Address - City:KAILUA KONA
Practice Address - State:HI
Practice Address - Zip Code:96740-2144
Practice Address - Country:US
Practice Address - Phone:808-326-1971
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-08
Last Update Date:2011-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI9192225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty