Healthcare Provider Details

I. General information

NPI: 1275442253
Provider Name (Legal Business Name): CHANTE HOKUALAKAWENAOKEAO KULOLOIO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12121 E BROADWAY AVE STE 5B
SPOKANE VALLEY WA
99206-4972
US

IV. Provider business mailing address

209 E SIERRA AVE
SPOKANE WA
99208-5787
US

V. Phone/Fax

Practice location:
  • Phone: 509-921-9800
  • Fax:
Mailing address:
  • Phone: 509-821-1944
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number70091866
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: