Healthcare Provider Details

I. General information

NPI: 1821261959
Provider Name (Legal Business Name): MICHELLE P. NARHI MASSAGE THERAPIST
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/09/2008
Last Update Date: 04/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44-151 BAYVIEW HAVEN PL
KANEOHE HI
96744-2502
US

IV. Provider business mailing address

44-151 BAYVIEW HAVEN PL
KANEOHE HI
96744-2502
US

V. Phone/Fax

Practice location:
  • Phone: 808-235-0728
  • Fax:
Mailing address:
  • Phone: 808-235-0728
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number1656
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: