Pathama Hennek, MAT-14897

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MAT-14897 Issued in HI

Practice address

563 Farrington Hwy Ste 202
Kapolei, HI 96707-2031

Phone

(808) 478-2661

NPI assigned

Jul 30, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Thai Aroma Massage Therapy LLC

  • Massage Therapist
  • Kapolei, HI
  • NPI 1164201158
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1659139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659139200000",
    "number": "1336875384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "563 FARRINGTON HWY STE 202",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072031",
            "telephone_number": "808-478-2661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "563 FARRINGTON HWY STE 202",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072031",
            "telephone_number": "808-478-2661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNEK",
        "first_name": "PATHAMA",
        "credential": "MAT-14897",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-30",
        "last_updated": "2022-07-30",
        "certification_date": "2022-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "HI",
            "license": "MAT-14897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharae Hawelu, LMFT
• William T Hawkins Jr., MSN, CEN, RN
• Shelby J Haygood
• Healthy Smiles Family Dental, Inc.
• Kimberly Mei Lin Heddlesten
• Melanie Hernandez
• Joanna Lehua Herrod
• Taylor Nanimakamae Hershey
• Amanda Louise Hess, MSC, LMFT, LMHC
• Amber Elizabeth Hewston, MSPT

• Massage Therapist in Kapolei, HI
• Providers in Kapolei, HI by specialty
• Massage Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.