Provider Demographics
NPI:1386883437
Name:BLASER, MARGARET IRENE (DOM,LAC, LMT)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:IRENE
Last Name:BLASER
Suffix:
Gender:F
Credentials:DOM,LAC, LMT
Other - Prefix:
Other - First Name:MEG
Other - Middle Name:
Other - Last Name:BLASER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DOM,LAC, LMT
Mailing Address - Street 1:415 ULUNIU ST.
Mailing Address - Street 2:SUITE A
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-3865
Mailing Address - Country:US
Mailing Address - Phone:808-292-3786
Mailing Address - Fax:866-231-7078
Practice Address - Street 1:415 ULUNIU ST STE A
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-2503
Practice Address - Country:US
Practice Address - Phone:808-292-3786
Practice Address - Fax:866-231-7078
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-12
Last Update Date:2010-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIACU 890171100000X
HIMAT8771225700000X
UT2049544701225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist