Tanner Kamisky is a Massage Therapist based in Kapaa, HI. Tanner Kamisky practices in Kilauea, HI. The NPI Number for Tanner Kamisky is 1023730967 and holds a License No. 16308 (Hawaii).
The current practice location address for Tanner Kamisky is 2430 Oka St # B, Kilauea, HI and can be reached out via phone at 808-828-2885.
Location: 2430 Oka St # B, Kilauea, HI, 96746
Provider Profile Details
NPI Number
1023730967
Provider Name
Tanner Kamisky
Credential
Provider Entity Type
Individual
Gender
Male
Address
2430 Oka St # B, Kilauea, HI, 96746
Phone Number
808-828-2885
Fax Number
Provider Enumeration Date
09/16/2022
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W268317602 | 01 | GA | AETNA |
Provider Business Practice Location Address Details
Address
2430 Oka St # B
City
State
Zip
96754-5332
Phone Number
808-828-2885
Fax Number
Provider Business Mailing Address Details
Address
2430 Oka St # B
City
State
Zip
96754-5332
Phone Number
808-828-2885
Fax Number
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
16308 (Hawaii)
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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