Healthcare Provider Details

I. General information

NPI: 1982509949
Provider Name (Legal Business Name): MANA WELLNESS MASSAGE THERAPY & HOLISTIC HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

224 KAMEHAMEHA AVE STE 206
HILO HI
96720-2878
US

IV. Provider business mailing address

PO BOX 266
MOUNTAIN VIEW HI
96771-0266
US

V. Phone/Fax

Practice location:
  • Phone: 808-747-4405
  • Fax:
Mailing address:
  • Phone: 808-747-7415
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. LAWRENCE REYNOLDS
Title or Position: OWNER
Credential: LMT
Phone: 808-747-7415