Active NPI
Aimee Denise Willmoth, MT
- Massage Therapist
- Wailuku, HI
National Provider Identifier
1134560626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 13195
- Practice address
- 40 N Market St
Wailuku, HI 96793-1718 - Phone
- (613) 810-9120
- NPI assigned
- Jul 11, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 13195 | HI | Primary |
Addresses
Primary practice location
40 N Market St
Wailuku, HI 96793-1718
Mailing address
40 N Market St
Wailuku, HI 96768
UM
Phone (612) 810-9120
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13195 | HI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373500800000",
"number": "1134560626",
"addresses": [
{
"country_code": "UM",
"country_name": "United States Minor Outlying Islands",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "40 N MARKET ST",
"city": "WAILUKU",
"state": "HI",
"postal_code": "96768",
"telephone_number": "612-810-9120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 N MARKET ST",
"city": "WAILUKU",
"state": "HI",
"postal_code": "967931718",
"telephone_number": "613-810-9120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLMOTH",
"first_name": "AIMEE",
"middle_name": "DENISE",
"name_prefix": "Mrs.",
"credential": "MT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-11",
"last_updated": "2013-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "HI",
"license": "13195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wailuku, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.