IndividualActive
Bradley Wathen, LMT
NPI 1275416570 · Massage Therapist · Kapaa, HI
Provider details
- NPI number
- 1275416570
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Male
- Sole proprietor
- No
- License
- MAT-18005 (HI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
4-356 Kuhio Highway
#113b
Kapaa, HI 96746
Phone: (530) 559-1664
Approximate (ZIP-level) locationGet directions
Mailing address
5030 Laipo Road
Kapaa, HI 96746
Registry dates
- Enumerated
- 2025-07-26
- Last updated
- 2025-07-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.