Individual
TONYA MARIE NICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2460 OKA ST STE 101A, KILAUEA, HI 96754-5308
(808) 631-2512
Mailing address
PO BOX 882, KILAUEA, HI 96754-0882
(808) 631-2512
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15470
HI
Other
Enumeration date
02/17/2026
Last updated
02/17/2026
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