Healthcare Provider Details

I. General information

NPI: 1154254266
Provider Name (Legal Business Name): MIYAKO MASUI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4510 SALT LAKE BLVD # 86
HONOLULU HI
96818-3153
US

IV. Provider business mailing address

3842 PAHOA AVE
HONOLULU HI
96816-4142
US

V. Phone/Fax

Practice location:
  • Phone: 808-321-7135
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: