Doctor Name: | CHERYL KNOWLES |
NPI Number: | 1144409442 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT/RN |
License Number: | 7006 |
Business Practice Address: | 64-1040 Mamalahoa Hwy Ste 201 Kamuela, HI - 967438450 |
Business Phone Number: | 8083255838 |
Business Fax Number: | |
Mailing Address: | Po Box 3580, KAILUA KONA |
State: | HI |
Postal Code: | 967453580 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 11/02/2007 |
NPI Last Update Date: | 11/02/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WM1400X |
License Number: | 7006 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Nurse Massage Therapist (NMT) |
Taxonomy Definition: |