Organization Name: | THAI-ISSAN THERAPEUTIC MASSAGE, LLC |
NPI Number: | 1457724387 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SATHIPORN SONGSORN (PRESIDENT) |
Mailing Address: | 655 Keeaumoku St Ste 102 Honolulu |
State: | HI US |
Postal Code: | 968143006 |
Phone Number: | 8085938866 |
Fax Number: | 8085938035 |
NPI Enumeration Date: | 10/30/2015 |
NPI Last Update Date: | 11/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MAT-13238 |
Healthcare Provider Taxonomy: (Secondary) | N |
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. |