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Ms. Nicole Elizabeth Larson, LMT
Massage Therapist in Kilauea, Hawaii
NPI 1154929198

Nicole Elizabeth Larson is a Massage Therapist based in Kilauea, HI. Nicole Elizabeth Larson practices in Kilauea, HI and has the professional credentials of LMT. The NPI Number for Nicole Elizabeth Larson is 1154929198 and holds a License No. MAT15434 (Hawaii).

The current practice location address for Nicole Elizabeth Larson is 2430 Oka St Ste B, Kilauea, HI and can be reached out via phone at 808-828-0030 and via fax at 808-977-7769.

Location: 2430 Oka St Ste B, Kilauea, HI, 96754-5332
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154929198
Provider Name
Nicole Elizabeth Larson
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
2430 Oka St Ste B, Kilauea, HI, 96754-5332
Phone Number
808-828-0030
Fax Number
808-977-7769
Provider Enumeration Date
10/12/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MAT15434 01 HI DCCA
institution
Provider Business Practice Location Address Details
Address
2430 Oka St Ste B
City
Kilauea
State
Hawaii
Zip
96754-5332
Phone Number
808-828-0030
Fax Number
808-977-7769
person
Provider Business Mailing Address Details
Address
2430 Oka St Ste B
City
Kilauea
State
Hawaii
Zip
96754-5332
Phone Number
808-828-0030
Fax Number
808-977-7769
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MAT15434 (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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