Doctor Name: | JOYCE P MIRANDA |
NPI Number: | 1508016924 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.M.T. |
License Number: | 7778 |
Business Practice Address: | 75-5591 Palani Rd Suite 207 Kailua Kona, HI - 967403631 |
Business Phone Number: | 8083279845 |
Business Fax Number: | 8083299038 |
Mailing Address: | 75-5591 Palani Rd, Suite 207 KAILUA KONA |
State: | HI |
Postal Code: | 967403631 |
Phone Number: | 8083279845 |
Fax Number: | 8083299038 |
NPI Enumeration Date: | 09/22/2008 |
NPI Last Update Date: | 09/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 7778 |
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. |