Provider Demographics
NPI:1215713326
Name:MOTOSUE, GUO YU
Entity type:Individual
Prefix:
First Name:GUO
Middle Name:YU
Last Name:MOTOSUE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1860 ALA MOANA BLVD STE 116
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96815-1656
Mailing Address - Country:US
Mailing Address - Phone:808-382-6033
Mailing Address - Fax:
Practice Address - Street 1:1860 ALA MOANA BLVD STE 116
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96815-1656
Practice Address - Country:US
Practice Address - Phone:808-382-6033
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-05
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMAE-16501225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty