8Revive, LLC
Organization Active NPI Clinic/Center · Kahului, HI
NPI 1619258563 · NPPES record last updated Mar 21, 2015
Key facts
- NPI
- 1619258563
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- License
- MAE-2645 (HI)
- Legal business name
- 8REVIVE, LLC
- Practice address
- 161 Maa St
Suite 101
Kahului, HI 96732-3603 - Phone
- (808) 270-1893
- Fax
- (808) 270-1892
- NPI assigned
- Sep 6, 2011
- Organization subpart
- No
Authorized official
- Name
- Jennifer Andreoni, LMT
- Title
- Owner/Manager
- Phone
- (808) 270-1893
National Provider Directory
Locations
161 Maa St
Ste 101
Kahului, HI 96732
Phone (808) 270-1893
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | MAE-2645 | HI | Yes |
Addresses
Primary practice location
161 Maa St
Suite 101
Kahului, HI 96732-3603
Mailing address
161 Maa St
Suite 101
Kahului, HI 96732-3603
Phone (808) 270-1893
Other names
- Infinity Revive Massage & Wellness Ctr
Other providers in Kahului, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 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.