Healthcare Provider Details

I. General information

NPI: 1710239702
Provider Name (Legal Business Name): NINA CAISERMAN KAPUNI L.M.T
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/15/2012
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

302C ULULANI ST
HILO HI
96720-3053
US

IV. Provider business mailing address

302C ULULANI ST
HILO HI
96720-3053
US

V. Phone/Fax

Practice location:
  • Phone: 808-936-3364
  • Fax: 808-936-3364
Mailing address:
  • Phone: 808-936-3364
  • Fax: 808-936-3364

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMAT6328
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: