Individual
TASHA AIPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, MBA
Contact information
Practice address
68-1845 WAIKOLOA RD, STE 201, WAIKOLOA, HI 96738-5584
(808) 960-8333
Mailing address
PO BOX 384718, WAIKOLOA, HI 96738-4718
(808) 688-8178
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MAT12328
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12328
MASSAGE THERAPY
HI
Enumeration date
06/23/2014
Last updated
06/23/2014
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