Timothy Amor
Individual provider Active NPI Massage Therapist · Ewa Beach, HI
NPI 1164031498 · NPPES record last updated Jul 22, 2020
Key facts
- NPI
- 1164031498
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MAT-16389 (HI)
- Practice address
- 91-135 Wailohia PL
Ewa Beach, HI 96706-1854 - Phone
- (808) 931-9757
- NPI assigned
- Jul 22, 2020
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| OTA-179 | HI | MD | Occupational Therapy Assistant |
| MAT-16389 | HI | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OTA-179 | HI | |
| Massage Therapist | 225700000X | MAT-16389 | HI | Yes |
Addresses
Primary practice location
91-135 Wailohia PL
Ewa Beach, HI 96706-1854
Mailing address
91-135 Wailohia PL
Ewa Beach, HI 96706-1854
Phone (808) 931-9757
Other providers in Ewa Beach, HI
- Helen Ocampo Alvarez
- Cecile Paras Alviar
- Maisha K Amare
- Matthaliya Amasula
- Valorie Ammann
- Ercia Tiana Amosa
- Cherry Ann Ancheta
- Raquiel Andersen
- Ketsy Karen Anderson
- Brenda Joyce Andrieu
All providers in Ewa Beach, HI · Massage Therapist in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2020. 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.