Provider Demographics
NPI:1316119647
Name:KA HALE OLA MASSAGE THERAPY, LLC
Entity type:Organization
Organization Name:KA HALE OLA MASSAGE THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER-MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ARAN
Authorized Official - Middle Name:
Authorized Official - Last Name:NAKANO
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:808-255-4994
Mailing Address - Street 1:98-200 KAMEHAMEHA HWY
Mailing Address - Street 2:SUITE 401
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-4329
Mailing Address - Country:US
Mailing Address - Phone:808-255-4994
Mailing Address - Fax:
Practice Address - Street 1:98-200 KAMEHAMEHA HWY
Practice Address - Street 2:SUITE 401
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-4329
Practice Address - Country:US
Practice Address - Phone:808-255-4994
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-26
Last Update Date:2008-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMAE-1943261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center