Organization
HINIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LAUREL LABISTRE LMT, CCST, ABT (OWNER AND LMT)
(808) 785-7624
Entity
Organization
Contact information
Practice address
176 MAMO ST STE 103, HILO, HI 96720-2984
(808) 785-7624
(808) 443-0131
Mailing address
176 MAMO ST STE 103, HILO, HI 96720-2984
(808) 785-7624
(808) 443-0131
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
12/17/2025
Last updated
12/17/2025
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