Active NPI
Tenisha Ruidas LLC
Doing business as Body Balance
- Massage Therapist
- Aiea, HI
National Provider Identifier
1083238240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Legal business name
- TENISHA RUIDAS LLC
- Doing business as
- Body Balance
- Practice address
- 99-1255 Waiua PL Unit E
Aiea, HI 96701-5620 - Phone
- (808) 633-6167
- NPI assigned
- Jun 3, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tenisha K Ruidas, LMT
- Title
- Owner
- Phone
- (808) 633-6167
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | Primary |
Addresses
Primary practice location
99-1255 Waiua PL Unit E
Aiea, HI 96701-5620
Mailing address
PO Box 309
Aiea, HI 96701-0309
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15385 | Other | HI | LICENSED MASSAGE THERAPIST |
Other names 1
- Body Balance
National Provider Directory
National Provider DirectoryLocations
99-1255 Waiua Pl
Unit E
Aiea, HI 96701
Phone (808) 633-6167
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Massage Therapist
- Honolulu, HI
- NPI 1487111761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1651104000000",
"number": "1083238240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 309",
"city": "AIEA",
"state": "HI",
"postal_code": "967010309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99-1255 WAIUA PL UNIT E",
"city": "AIEA",
"state": "HI",
"postal_code": "967015620",
"telephone_number": "808-633-6167"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TENISHA RUIDAS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-03",
"last_updated": "2022-04-28",
"certification_date": "2022-04-28",
"status": "A",
"authorized_official_last_name": "RUIDAS",
"authorized_official_first_name": "TENISHA",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "808-633-6167",
"authorized_official_credential": "LMT"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED MASSAGE THERAPIST",
"identifier": "15385",
"state": "HI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Body Balance",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Body Balance",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Aiea, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.