Healthcare Provider Details
I. General information
NPI: 1902494487
Provider Name (Legal Business Name): AMY NORTON LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/09/2021
Last Update Date: 07/02/2025
Certification Date: 06/18/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4-356 KUHIO HWY # 113B
KAPAA HI
96746-1413
US
IV. Provider business mailing address
6162 ALAPAKI RD
KAPAA HI
96746-8215
US
V. Phone/Fax
- Phone: 808-855-0321
- Fax: 305-415-8328
- Phone: 808-855-0321
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225700000X |
| Taxonomy | Massage Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
AMY
C
NORTON
Title or Position: CHINESE MEDICAL PRACTITIONER
Credential: L.AC.
Phone: 808-855-0321