Individual
ALYSSA TAKESHITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
98-939 MOANALUA RD, AIEA, HI 96701-5012
(855) 223-7123
Mailing address
PO BOX 33568, SAN DIEGO, CA 92163-3568
(855) 223-7123
(619) 374-7134
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
225700000X
Massage Therapist
MAT-15865
HI
Other
Enumeration date
05/06/2022
Last updated
01/03/2024
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