Kaipo Kaleokuikealoaloha Dudoit

Individual provider Active NPI Massage Therapist · Waimanalo, HI

NPI 1508417874 · NPPES record last updated Sep 26, 2019

Key facts

NPI
1508417874
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
MAT-15648 (HI)
Practice address
41-1295 Kalanianaole Hwy
Waimanalo, HI 96795
Phone
(808) 259-7948
NPI assigned
Sep 26, 2019
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

State licenses

LicenseStateTypeSpecialty
MAT-15648HIMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MAT-15648 HI Yes

Addresses

Primary practice location

41-1295 Kalanianaole Hwy
Waimanalo, HI 96795

Mailing address

91-1649 Kaukolu St
Ewa Beach, HI 96706-4967
Phone (808) 232-9623

Other practice location 1

41-1347 Kalanianaole Hwy
Waimanalo, HI 96795-1247
Phone (808) 259-7948

Other providers in Waimanalo, HI

All providers in Waimanalo, HI · Massage Therapist in Hawaii

Sources for this page

Verify at the official NPI Registry.