Doctor Name: | JENNIFER LYNN PERRY |
NPI Number: | 1477701779 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT |
License Number: | 3376 |
Business Practice Address: | 1521 S King St Ste 407 Honolulu, HI - 968261917 |
Business Phone Number: | 8082561035 |
Business Fax Number: | |
Mailing Address: | 3854 Pokapahu Pl, HONOLULU |
State: | HI |
Postal Code: | 968164411 |
Phone Number: | 8082561035 |
Fax Number: | |
NPI Enumeration Date: | 08/29/2008 |
NPI Last Update Date: | 08/01/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 3376 |
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. |