Provider Demographics
NPI:1154164069
Name:DELBEX, KAPONO (LMT)
Entity type:Individual
Prefix:MR
First Name:KAPONO
Middle Name:
Last Name:DELBEX
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:433 RAINDANCE DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-4097
Mailing Address - Country:US
Mailing Address - Phone:808-864-1848
Mailing Address - Fax:
Practice Address - Street 1:433 RAINDANCE DR
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-4097
Practice Address - Country:US
Practice Address - Phone:808-864-1848
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-18
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV11772225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist