Healthcare Provider Details
I. General information
NPI: 1831445584
Provider Name (Legal Business Name): AMY N FIGUEIRA LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/31/2012
Last Update Date: 07/31/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
95-720 LANIKUHANA AVE 140
MILILANI HI
96789-2985
US
IV. Provider business mailing address
95-720 LANIKUHANA AVE 140
MILILANI HI
96789-2985
US
V. Phone/Fax
- Phone: 808-623-6244
- Fax: 808-623-6414
- Phone: 808-623-6244
- Fax: 808-623-6414
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225700000X |
| Taxonomy | Massage Therapist |
| License Number | LMT 12723 |
| License Number State | HI |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: