Stephanie Joerke, L.M.T.
Individual provider Active NPI Massage Therapist · Pahoa, HI
NPI 1023307295 · NPPES record last updated Mar 28, 2011
Key facts
- NPI
- 1023307295
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 7506 (HI)
- Practice address
- 15-2950 Pahoa Village Rd
Pahoa, HI 96778 - Phone
- (808) 965-6307
- NPI assigned
- Mar 28, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7506 | HI | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kupukupu Center for Arts and Healing LLC | Massage Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 7506 | HI | Yes |
Addresses
Primary practice location
15-2950 Pahoa Village Rd
Pahoa, HI 96778
Mailing address
PO Box 1864
Pahoa, HI 96778-1864
Phone (808) 965-6307
Other providers in Pahoa, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.