Healthcare Provider Details

I. General information

NPI: 1659973683
Provider Name (Legal Business Name): RIKA SALES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/13/2020
Last Update Date: 11/30/2020
Certification Date: 11/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1660 KALAKAUA AVE STE 105B
HONOLULU HI
96826-2450
US

IV. Provider business mailing address

1660 KALAKAUA AVE STE 105B
HONOLULU HI
96826-2450
US

V. Phone/Fax

Practice location:
  • Phone: 808-852-0202
  • Fax:
Mailing address:
  • Phone: 808-852-0202
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code173C00000X
TaxonomyReflexologist
License NumberMAT8965
License Number StateHI
# 2
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMAT8965
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: