Alea Backus, LMT
Individual provider Active NPI Massage Therapist · Honokaa, HI
NPI 1245003003 · NPPES record last updated Nov 3, 2023
Key facts
- NPI
- 1245003003
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MAT-17289 (HI)
- Practice address
- 45-3318 Kamani St.
Honokaa, HI 96727 - Phone
- (808) 458-9553
- NPI assigned
- Nov 3, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| MAT-17289 | HI | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MAT-17289 | HI | Yes |
Addresses
Primary practice location
45-3318 Kamani St.
Honokaa, HI 96727
Mailing address
PO Box 276
Paauilo, HI 96776-0276
Phone (808) 358-9553
Other providers in Honokaa, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2023. 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.