Peter Bayramian
Individual provider Active NPI Massage Therapist · Kahului, HI
NPI 1104185230 · NPPES record last updated May 9, 2012
Key facts
- NPI
- 1104185230
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 12726 (HI)
- Practice address
- 77 Hookele St
Suite 101
Kahului, HI 96732-3515 - Phone
- (808) 270-1893
- Fax
- (808) 270-1892
- NPI assigned
- May 9, 2012
- Sex
- Male
- 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 |
|---|---|---|---|
| 12726 | HI | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infinty Revive | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 12726 | HI | Yes |
Addresses
Primary practice location
77 Hookele St
Suite 101
Kahului, HI 96732-3515
Mailing address
123A Miha PL
Kihei, HI 96753-7913
Phone (808) 772-0290
Other providers in Kahului, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2012. 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.