Lisa Mary Doreen Ortiz, LMT
Individual provider Active NPI Massage Therapist · Hauula, HI
NPI 1225220189 · NPPES record last updated Aug 15, 2007
Key facts
- NPI
- 1225220189
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 6174 (HI)
- Practice address
- 54-316 Kamehameha Hwy
Suite 7
Hauula, HI 96717-9539 - Phone
- (808) 293-5377
- Fax
- (808) 293-5390
- NPI assigned
- Aug 15, 2007
- Sex
- Female
- 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 |
|---|---|---|---|
| 6174 | HI | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ko Olauloa Health Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 6174 | HI | Yes |
Addresses
Primary practice location
54-316 Kamehameha Hwy
Suite 7
Hauula, HI 96717-9539
Mailing address
PO Box 1875
Aiea, HI 96701-7875
Phone (808) 306-0081
Other providers in Hauula, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2007. 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.