Provider Demographics
NPI:1427264290
Name:GOT QUALITY MASSAGE
Entity type:Organization
Organization Name:GOT QUALITY MASSAGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PRINCIPAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:WATTS
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:808-722-5182
Mailing Address - Street 1:354 ULUNIU ST
Mailing Address - Street 2:SUITE 404
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-2528
Mailing Address - Country:US
Mailing Address - Phone:808-722-5182
Mailing Address - Fax:808-595-0509
Practice Address - Street 1:354 ULUNIU ST
Practice Address - Street 2:SUITE 404
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-2528
Practice Address - Country:US
Practice Address - Phone:808-722-5182
Practice Address - Fax:808-595-0509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI5645225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty