Healthcare Provider Details

I. General information

NPI: 1568372050
Provider Name (Legal Business Name): RIE TSUKUI
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 LUNALILO HOME RD UNIT 7204
HONOLULU HI
96825-1750
US

IV. Provider business mailing address

520 LUNALILO HOME RD UNIT 7204
HONOLULU HI
96825-1750
US

V. Phone/Fax

Practice location:
  • Phone: 347-577-3608
  • Fax:
Mailing address:
  • Phone: 347-577-3608
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMAT-16875
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: