IndividualActive
Nicole Larson, LMT
NPI 1154929198 · Massage Therapist · Kilauea, HI
Provider details
- NPI number
- 1154929198
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- License
- MAT15434 (HI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2430 Oka St Ste B
Kilauea, HI 96754-5332
Phone: (808) 828-0030
Fax: (808) 977-7769
Approximate (ZIP-level) locationGet directions
Mailing address
2430 Oka St Ste B
Kilauea, HI 96754-5332
Registry dates
- Enumerated
- 2020-10-12
- Last updated
- 2022-08-12
- Certified
- 2020-10-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.