MEDICARE: MS. APRIL ANN BEAUREGARD LMT CNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	MAT 8716	HI

General Provider Information

NPI Number	:	1093934150
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. APRIL ANN BEAUREGARD LMT CNA

Provider Business Mailing Address
First Line	:	75 6081 ALII DRIVE
Second Line	:	LL 104
City	:	KAILUA KONA
State	:	HI
Zip	:	96740-4370
Country	:	US
Telephone Number	:	808-989-3810
Fax Number	:

Provider Business Practice Location Address
First Line	:	75 6081 ALII DRIVE
Second Line	:	LL 104
City	:	KAILUA KONA
State	:	HI
Zip	:	96740-4370
Country	:	US
Telephone Number	:	808-989-3810
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2007
Last Update Date	:	12/14/2025

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