Doctor Name: | MRS. KIMBERLY ANN CARVALHO JORDAO |
NPI Number: | 1235389388 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT |
License Number: | MAT 10296 |
Business Practice Address: | 615 Piikoi St Ste 1601 Honolulu, HI - 968143142 |
Business Phone Number: | 8082777434 |
Business Fax Number: | |
Mailing Address: | 41-1446 Kumuula St, WAIMANALO |
State: | HI |
Postal Code: | 967951224 |
Phone Number: | 8082777434 |
Fax Number: | |
NPI Enumeration Date: | 09/25/2008 |
NPI Last Update Date: | 09/25/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MAT 10296 |
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. |