Healthcare Provider Details

I. General information

NPI: 1639091556
Provider Name (Legal Business Name): OCEANIC WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65-1235 OPELO RD STE 7
KAMUELA HI
96743-8454
US

IV. Provider business mailing address

PO BOX 1363
KAMUELA HI
96743-1363
US

V. Phone/Fax

Practice location:
  • Phone: 808-640-3407
  • Fax: 808-229-4833
Mailing address:
  • Phone:
  • Fax: 808-229-4833

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: LAURAN CHAPPLE
Title or Position: LICENSED ACUPUNCTURIST
Credential: L.AC
Phone: 808-640-3407