Jose Antonio Antonmattei, M.A.
Individual provider Active NPI Art Therapist · Kula, HI
NPI 1275545006 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1275545006
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Art Therapist 221700000X
- Practice address
- 148 Upper Kimo Dr
Kula, HI 96790-8049 - Phone
- (808) 283-4321
- NPI assigned
- Aug 12, 2006
- Sex
- Male
- 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
- Credentials
- Master of Arts
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Art Therapist | 221700000X | Yes |
Addresses
Primary practice location
148 Upper Kimo Dr
Kula, HI 96790-8049
Mailing address
148 Upper Kimo Dr
Kula, HI 96790-8049
Phone (808) 283-4321
Other providers in Kula, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 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.