=====================================================
General NPI Number Information
=====================================================
NPI Number | 1033030812
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JANESUDA AKARAPREECHA
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/24/2026
-----------------------------------------------------
Last Update Date | 07/24/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 338 KAMOKILA BLVD STE 201
-----------------------------------------------------
City | KAPOLEI
-----------------------------------------------------
State | HI
-----------------------------------------------------
Zip | 96707-2055
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 808-470-4999
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 746 MCCULLY ST APT G
-----------------------------------------------------
City | HONOLULU
-----------------------------------------------------
State | HI
-----------------------------------------------------
Zip | 96826-3909
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 808-470-4999
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225700000X
-----------------------------------------------------
Taxonomy Name | Massage Therapist
-----------------------------------------------------
License Number | MAT-15868
-----------------------------------------------------
License Number State | HI
-----------------------------------------------------