Most Relevant Information
Provider Data
| NPI Number: | 1003640111 |
| Provider Name: | NICK LAUTIERI LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | MAT-17934 |
Most Important Dates
| Enumeration Date: | 08/29/2024 |
| Last Updated: | 09/21/2024 |
Provider Practice Location
337 ULUNIU ST STE 202
KAILUA
HI
967342508
Practice Location Phone/Fax
| Phone: | 7576636625 |
| Fax: |
Provider Mailing Location
2969 VARSITY CIR APT 5
HONOLULU
HI
968261745
Provider Mailing Phone/Fax
| Phone: | 7576636625 |
| Fax: |