Most Relevant Information
Provider Data
| NPI Number: | 1003261264 |
| Provider Name: | BLAKE TAAPAI MATAOA |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 13758 |
Most Important Dates
| Enumeration Date: | 04/25/2016 |
| Last Updated: | 04/25/2016 |
Provider Practice Location
465 HINANO ST
HILO
HI
967204406
Practice Location Phone/Fax
| Phone: | 8085579519 |
| Fax: |
Provider Mailing Location
475 KINOOLE ST # 102-265
HILO
HI
967202900
Provider Mailing Phone/Fax
| Phone: | 8085579519 |
| Fax: |