Healthcare Provider Details

I. General information

NPI: 1588969927
Provider Name (Legal Business Name): JAYMESON LOKELA SANCHEZ M.T.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/16/2011
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

176 MAMO ST STE 103
HILO HI
96720-2984
US

IV. Provider business mailing address

PO BOX 526
KURTISTOWN HI
96760
US

V. Phone/Fax

Practice location:
  • Phone: 808-785-7624
  • Fax:
Mailing address:
  • Phone: 808-897-5520
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: