Healthcare Provider Details
I. General information
NPI: 1306755657
Provider Name (Legal Business Name): ISLAND VIEW MASSAGE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4-941 KUHIO HWY STE A
KAPAA HI
96746-2714
US
IV. Provider business mailing address
4-941 KUHIO HWY STE A
KAPAA HI
96746-2714
US
V. Phone/Fax
- Phone: 808-342-6769
- Fax:
- Phone: 808-342-6769
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225700000X |
| Taxonomy | Massage Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ANDREA
LAYMON
TURNER
Title or Position: OWNER
Credential: RN, LMT
Phone: 808-342-6769