Stacey Joy Alonzo
Individual provider Active NPI Massage Therapist · Kailua, HI
NPI 1295571537 · NPPES record last updated Jul 6, 2024
Key facts
- NPI
- 1295571537
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MAT-12483 (HI)
- Practice address
- 155 Hamakua Dr Ste B
Kailua, HI 96734-2849 - Phone
- (808) 261-8931
- Fax
- (808) 261-0301
- NPI assigned
- Jul 6, 2024
- Sex
- Female
- 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 |
|---|---|---|---|
| MAT-12483 | HI | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MAT-12483 | HI | Yes |
Addresses
Primary practice location
155 Hamakua Dr Ste B
Kailua, HI 96734-2849
Mailing address
155 Hamakua Dr Ste B
Kailua, HI 96734-2849
Phone (808) 261-8931
Other providers in Kailua, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2024. 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.