KIMBERLY MIKLAS VANT GROENEWOUT LMT
NPI 1992165112
Massage Therapist in Kula, HI
Active since March 01, 2016
About Kimberly Miklas Vant Groenewout Lmt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY MIKLAS VANT GROENEWOUT LMT (NPI 1992165112) is an individual massage therapist in Kula, Hawaii, licensed in Hawaii (MAT-3885) and active in the NPI registry since March 2016.
NPPES Registry Identity
NPI1992165112
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameKIMBERLY MIKLAS VANT GROENEWOUTCredential: LMT
Location Address29 KAWEO PLKula, HI 96790-7939
Mailing Address29 Kaweo PlKula, HI 96790-7939
Phone(808) 283-9194
Sole ProprietorYes
Enumeration DateMarch 1, 2016
✔ NPI 1992165112 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in HI · MAT-3885
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.
29 KAWEO PL, Kula, HI 96790
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1992165112, enumerated as an "individual" on March 01, 2016.
The provider is located at 29 KAWEO PL KULA, HI 96790 and the phone number is (808) 283-9194.
Massage Therapist with taxonomy code 225700000X.
