Provider Demographics
NPI:1992174700
Name:THOMPSON, SASCHA KAMAKANI (LMT)
Entity type:Individual
Prefix:
First Name:SASCHA
Middle Name:KAMAKANI
Last Name:THOMPSON
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:PO BOX 606
Mailing Address - Street 2:
Mailing Address - City:HAUULA
Mailing Address - State:HI
Mailing Address - Zip Code:96717-0606
Mailing Address - Country:US
Mailing Address - Phone:808-464-0228
Mailing Address - Fax:
Practice Address - Street 1:47-388 HUI IWA ST STE 16
Practice Address - Street 2:
Practice Address - City:KANEOHE
Practice Address - State:HI
Practice Address - Zip Code:96744-4427
Practice Address - Country:US
Practice Address - Phone:808-445-9100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-22
Last Update Date:2015-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMAT #5920174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist