Healthcare Provider Details

I. General information

NPI: 1780594911
Provider Name (Legal Business Name): YUKIKO MCGEE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

91-1123 KEAUNUI DR STE 223
EWA BEACH HI
96706-6369
US

IV. Provider business mailing address

91-1061 KANELA ST
EWA BEACH HI
96706-5957
US

V. Phone/Fax

Practice location:
  • Phone: 808-638-4559
  • Fax:
Mailing address:
  • Phone: 808-284-4457
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMAT-18491
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: