IndividualActive
Andrew Jacob, LMT
NPI 1194168575 · Massage Therapist · Honolulu, HI
Provider details
- NPI number
- 1194168575
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 11932 (HI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2440 Kuhio Ave Ste Os1
Honolulu, HI 96815-3347
Phone: (808) 349-3141
Approximate (ZIP-level) locationGet directions
Mailing address
2100 Date St
Honolulu, HI 96826-4054
Registry dates
- Enumerated
- 2013-04-16
- Last updated
- 2013-04-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.