Provider Demographics
NPI:1154888352
Name:MANOA KAUI, SHAINA MAKANAMAIKALANI (LMT, CMMP)
Entity type:Individual
Prefix:MRS
First Name:SHAINA
Middle Name:MAKANAMAIKALANI
Last Name:MANOA KAUI
Suffix:
Gender:F
Credentials:LMT, CMMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 ULUNIU ST STE 2
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-2529
Mailing Address - Country:US
Mailing Address - Phone:808-452-3444
Mailing Address - Fax:808-490-0226
Practice Address - Street 1:320 ULUNIU ST STE 2
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-2529
Practice Address - Country:US
Practice Address - Phone:808-452-3444
Practice Address - Fax:808-490-0226
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-23
Last Update Date:2025-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI14575225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist