Catherine Deboni, L.M.T.
Individual provider Active NPI Massage Therapist · Kula, HI
NPI 1649549684 · NPPES record last updated Mar 5, 2021
Key facts
- NPI
- 1649549684
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MAT11291 (HI)
- Practice address
- 23 Makai PL
Kula, HI 96790-8518 - Phone
- (808) 344-9512
- NPI assigned
- Dec 20, 2011
- Sex
- Female
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| MAT 11291 | HI | MD | Contractor |
| MAT11291 | HI | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | MAT 11291 | HI | |
| Massage Therapist | 225700000X | MAT11291 | HI | Yes |
Addresses
Primary practice location
23 Makai PL
Kula, HI 96790-8518
Mailing address
23 Makai PL
Kula, HI 96790-8518
Other providers in Kula, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2021. 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.