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Timothy Amor

Massage Therapist in Ewa Beach, HI. Individual provider (NPI-1).

NPI number1164031498
StatusActive
Last updated in NPPESJul 22, 2020

Details

NPI
1164031498
Entity type
Individual (NPI-1)
Name
Timothy Amor
Sex
Male
Sole proprietor
No
Enumeration date
Jul 22, 2020
Certification date
Jul 22, 2020
Last updated
Jul 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage TherapistMAT-16389HIYes
224Z00000X Occupational Therapy AssistantOTA-179HI

Practice location

91-135 Wailohia Pl
Ewa Beach, HI 96706-1854

Phone 808-931-9757

Mailing address

91-135 Wailohia Pl
Ewa Beach, HI 96706-1854

Phone 808-931-9757

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