Healthcare Provider Details

I. General information

NPI: 1790442929
Provider Name (Legal Business Name): SOLFIT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2021
Last Update Date: 11/22/2021
Certification Date: 11/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

91-3633 KAULUAKOKO ST UNIT 305
EWA BEACH HI
96706-5866
US

IV. Provider business mailing address

91-3633 KAULUAKOKO ST UNIT 305
EWA BEACH HI
96706-5866
US

V. Phone/Fax

Practice location:
  • Phone: 808-220-3965
  • Fax:
Mailing address:
  • Phone: 808-220-3965
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: DAVID LANGFELDER
Title or Position: ONWER
Credential: LAC, LMT
Phone: 808-220-3965