Jason Allen, MAT
Individual provider Active NPI Massage Therapist · Honolulu, HI
NPI 1457720583 · NPPES record last updated Sep 18, 2015
Key facts
- NPI
- 1457720583
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MAT-14288 (HI)
- Practice address
- 31 S Beretania St
Honolulu, HI 96813-2220 - Phone
- (808) 524-8588
- NPI assigned
- Sep 18, 2015
- Sex
- Male
- 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-14288 | HI | MD | Massage Therapist |
Interoperability endpoints
- https://api.platform.athenahealth.com/21975/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MAT-14288 | HI | Yes |
Addresses
Primary practice location
31 S Beretania St
Honolulu, HI 96813-2220
Mailing address
31 S Beretania St
Honolulu, HI 96813-2220
Phone (808) 524-8588
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2015. 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.