Organization Name: | MID PACIFIC MASSAGE THERAPY, LLC |
NPI Number: | 1144518846 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MUELANG KAULANA MOLINA (MASSAGE THERAPIST - OWNER/ FOUNDER) |
Mailing Address: | 221 Piikea Ave Suite D Kihei |
State: | HI US |
Postal Code: | 967538268 |
Phone Number: | 8082682684 |
Fax Number: | 8667994374 |
NPI Enumeration Date: | 07/14/2011 |
NPI Last Update Date: | 03/16/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 11826 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |