Provider Demographics
NPI:1932848124
Name:CURTIS, SUMIKO
Entity Type:Individual
Prefix:
First Name:SUMIKO
Middle Name:
Last Name:CURTIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2525 DATE ST APT 1704
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96826-5410
Mailing Address - Country:US
Mailing Address - Phone:808-561-4811
Mailing Address - Fax:
Practice Address - Street 1:3221 WAIALAE AVE STE 330
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96816-5831
Practice Address - Country:US
Practice Address - Phone:808-735-8749
Practice Address - Fax:808-734-2766
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-03
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI13562225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist