JORDANN HANAYO KALAE PATRICIO


Address: 1652 Frog Ln, Honolulu, HI 96817-3120
Phone: 8086202983

JORDANN HANAYO KALAE PATRICIO (NPI# 1568099216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568099216
Entity Type Individual
Full Name JORDANN HANAYO KALAE PATRICIO
Practice Address 1652 Frog Ln
Honolulu
HI 96817-3120
Practice Telephone 8086202983
Enumeration Date 2020-03-24
Last Update Date 2020-03-24
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225700000X Massage Therapist MAT-16074 HI Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1652 Frog Ln, Honolulu, HI 968173120

Office Location

Street Address 1652 FROG LN
City HONOLULU
State HI
Zip Code 96817-3120

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Taxonomy Information

Taxonomy Code 225700000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Massage Therapist

Taxonomy Definition

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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Competitor

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City HONOLULU
Zip Code 96817

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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