Leisure Eccentric Body Massage

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

LEISURE ECCENTRIC BODY MASSAGE

Doing business as

Massage therapist

Practice address

91-3575 Kauluakoko St Unit 1403
Ewa Beach, HI 96706-5859

Phone

(808) 699-9971

NPI assigned

Feb 26, 2024

Last updated

Feb 26, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Matthaliya Amasula, LMTNPI 1639933450

Title

Therapist

Phone

(808) 699-9971

Specialties & licenses 1

Addresses

Other names 1

• Massage therapist Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthaliya Amasula

  • Massage Therapist
  • Ewa Beach, HI
  • NPI 1639933450
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1104682384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-3575 KAULUAKOKO ST UNIT 1403",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967065859",
            "telephone_number": "808-699-9971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-3575 KAULUAKOKO ST UNIT 1403",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967065859",
            "telephone_number": "808-699-9971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEISURE ECCENTRIC BODY MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-25",
        "status": "A",
        "authorized_official_last_name": "AMASULA",
        "authorized_official_first_name": "MATTHALIYA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "808-699-9971",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Massage therapist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shay J Lee, M.D.
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• Josephine Sage Lehman
• Anthony Leite
• Shelley Lemerande, APRN, NP-C
• Oren Tuck Hung Leong, M.D.
• Nicole Colette Lewis, FNP
• Liberty Dialysis - Hawaii LLC (Liberty Dialysis Hawaii - Leeward Dialysis Facility)

• Massage Therapist in Ewa Beach, HI
• Providers in Ewa Beach, HI by specialty
• Massage Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.