IndividualActive
Kewala Tillak
NPI 1952035636 · Massage Therapist · Haleiwa, HI
Provider details
- NPI number
- 1952035636
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- MAT-16856 (HI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
66-387 Paalaa Rd
Haleiwa, HI 96712-1437
Phone: (808) 429-9505
Approximate (ZIP-level) locationGet directions
Mailing address
66-387 Paalaa Rd
Haleiwa, HI 96712-1437
Registry dates
- Enumerated
- 2022-07-10
- Last updated
- 2022-07-10
- Certified
- 2022-07-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.