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Individual

ISAIAH KEONI PRADO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BS

Contact information

Practice address
86-120 FARRINGTON HWY STE B203, WAIANAE, HI 96792-3072
(808) 696-4954
Mailing address
86-120 FARRINGTON HWY STE B203, WAIANAE, HI 96792-3072
(808) 696-4954

Taxonomy

Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
HI
171400000X
Health & Wellness Coach
HI
171M00000X
Case Manager/Care Coordinator
CA
171M00000X
Case Manager/Care Coordinator
HI
174H00000X
Health Educator
HI
225700000X
Massage Therapist
85430
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
85430
CALIFORNIA MASSAGE THERAPY COUNCIL
CA
Enumeration date
03/13/2021
Last updated
05/03/2026
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