Active NPI
Tyler Yamauchi Rautmann, MAT-14666
- Massage Therapist
- Kilauea, HI
National Provider Identifier
1679070403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 14666
- Practice address
- 7729 Koolau Rd
Kilauea, HI 96754 - Phone
- (808) 652-0563
- NPI assigned
- Apr 9, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 14666 | HI | Primary |
Addresses
Primary practice location
7729 Koolau Rd
Kilauea, HI 96754
Mailing address
PO Box 718
Kilauea, HI 96754-0718
Phone (808) 652-0563
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14666 | HI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523232000000",
"number": "1679070403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 718",
"city": "KILAUEA",
"state": "HI",
"postal_code": "967540718",
"telephone_number": "808-652-0563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7729 KOOLAU RD",
"city": "KILAUEA",
"state": "HI",
"postal_code": "96754",
"telephone_number": "808-652-0563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAUTMANN",
"first_name": "TYLER",
"middle_name": "YAMAUCHI",
"credential": "MAT-14666",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-04-09",
"last_updated": "2018-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "HI",
"license": "14666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kilauea, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.