Luanne G Bryant, LMT – Massage Therapist in Kihei, HI

Key facts

NPI: 1982999611
Entity type: Individual (NPI type 1)
Primary specialty: Massage Therapist 225700000X
License: 11839 (HI)
Practice address: 95 E Lipoa St
#105
Kihei, HI 96753-8194
Phone: (808) 874-5333
NPI assigned: Jun 10, 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
11839	HI	MD	Massage Therapist

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Massage Therapist	225700000X	11839	HI	Yes

Addresses

Primary practice location

95 E Lipoa St
#105
Kihei, HI 96753-8194

Mailing address

95 E Lipoa St
#105
Kihei, HI 96753-8194
Phone (808) 874-5333

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 2, 2011.

{
    "created_epoch": "1307664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312243200000",
    "number": "1982999611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 E LIPOA ST",
            "address_2": "#105",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967538194",
            "telephone_number": "808-874-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 E LIPOA ST",
            "address_2": "#105",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967538194",
            "telephone_number": "808-874-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "LUANNE",
        "middle_name": "G",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-10",
        "last_updated": "2011-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "HI",
            "license": "11839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kihei, HI

All providers in Kihei, HI · Massage Therapist in Hawaii

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2011. 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.

Verify at the official NPI Registry.