Most Relevant Information
Provider Data
| NPI Number: | 1003210618 |
| Provider Name: | KIMIKO MIYAKE LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 11561 |
Most Important Dates
| Enumeration Date: | 10/10/2014 |
| Last Updated: | 10/10/2014 |
Provider Practice Location
95-720 LANIKUHANA AVE
STE 140
MILILANI
HI
967892985
Practice Location Phone/Fax
| Phone: | 8086236244 |
| Fax: | 8086236414 |
Provider Mailing Location
95-720 LANIKUHANA AVE
STE 140
MILILANI
HI
967892985
Provider Mailing Phone/Fax
| Phone: | 8086236244 |
| Fax: | 8086236414 |