Provider Demographics
NPI:1285946905
Name:ARNISE, LYNNETTE (LMT)
Entity type:Individual
Prefix:
First Name:LYNNETTE
Middle Name:
Last Name:ARNISE
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:62 N MARKET ST
Mailing Address - Street 2:SUITE308
Mailing Address - City:WAILUKU
Mailing Address - State:HI
Mailing Address - Zip Code:96793-1755
Mailing Address - Country:US
Mailing Address - Phone:808-205-1513
Mailing Address - Fax:
Practice Address - Street 1:62 N MARKET ST
Practice Address - Street 2:SUITE308
Practice Address - City:WAILUKU
Practice Address - State:HI
Practice Address - Zip Code:96793-1755
Practice Address - Country:US
Practice Address - Phone:808-205-1513
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-10
Last Update Date:2010-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI8670172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist