Healthcare Provider Details

I. General information

NPI: 1043199540
Provider Name (Legal Business Name): MOTIV INTEGRATIVE HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2025
Last Update Date: 09/09/2025
Certification Date: 09/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

560 W KUIAHA RD
HAIKU HI
96708-5623
US

IV. Provider business mailing address

560 W KUIAHA RD
HAIKU HI
96708-5623
US

V. Phone/Fax

Practice location:
  • Phone: 808-303-1190
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: SELENA WAARA
Title or Position: CO-FOUNDER
Credential: DC, LAC
Phone: 808-303-1190