IndividualActive
Amanda Tavarez
NPI 1861294068 · Massage Therapist · Kailua Kona, HI
Provider details
- NPI number
- 1861294068
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- MAT-18113-0 (HI)
Practice location
75-127 Lunapule Rd Ste 1a
Kailua Kona, HI 96740-2112
Phone: (226) 380-8769
Mailing address
76-6195 Pakalana Rd Unit 2
Kailua Kona, HI 96740-2205
Registry dates
- Enumerated
- 2025-03-26
- Last updated
- 2025-03-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.