Doctor Name: | MR. LIBIO M HERNANDEZ |
NPI Number: | 1306068580 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMT |
License Number: | MAT3475 |
Business Practice Address: | 410 Kilani Avenue Room 204b Wahiawa, HI - 96786 |
Business Phone Number: | 8083422040 |
Business Fax Number: | |
Mailing Address: | Po Box 257, WAIALUA |
State: | HI |
Postal Code: | 96791 |
Phone Number: | 8083422040 |
Fax Number: | |
NPI Enumeration Date: | 05/03/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MAT3475 |
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. |