Nathalie June Dela Cruz Arios, LMT

Individual provider Active NPI Massage Therapist · Kapolei, HI

NPI 1972030245 · NPPES record last updated May 17, 2017

Key facts

NPI
1972030245
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
4829 (HI)
Practice address
91-1027 Shangrila St BLDG 1867
Kapolei, HI 96707-2101
Phone
(808) 674-9595
Fax
(808) 674-9696
NPI assigned
May 17, 2017
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
4829HIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Warfighter'S Clinic Past Accepting new patients
Elam Sports, Inc Past
since Sep 13, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 4829 HI Yes

Addresses

Primary practice location

91-1027 Shangrila St BLDG 1867
Kapolei, HI 96707-2101

Mailing address

91-1027 Shangrila St BLDG 1867
Kapolei, HI 96707-2101
Phone (808) 674-9595

Other providers in Kapolei, HI

All providers in Kapolei, HI · Massage Therapist in Hawaii

Sources for this page

Verify at the official NPI Registry.