Provider Demographics
NPI:1063134591
Name:DELIMA, CHERIE-LYN A (LMT)
Entity type:Individual
Prefix:
First Name:CHERIE-LYN
Middle Name:A
Last Name:DELIMA
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:CHERIE-LYN
Other - Middle Name:T
Other - Last Name:APUYA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMT
Mailing Address - Street 1:91-1217 KANEANA ST # 14D
Mailing Address - Street 2:
Mailing Address - City:EWA BEACH
Mailing Address - State:HI
Mailing Address - Zip Code:96706-3786
Mailing Address - Country:US
Mailing Address - Phone:808-285-2819
Mailing Address - Fax:
Practice Address - Street 1:99-128 AIEA HEIGHTS DRIVE
Practice Address - Street 2:#207
Practice Address - City:ALEA
Practice Address - State:HI
Practice Address - Zip Code:96701-3968
Practice Address - Country:US
Practice Address - Phone:808-487-0487
Practice Address - Fax:808-486-8674
Is Sole Proprietor?:No
Enumeration Date:2022-09-12
Last Update Date:2022-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI5249225700000X
HIMAT5249225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist