Alea Backus, LMT
Massage Therapist in Honokaa, HI. Individual provider (NPI-1).
NPI number1245003003
StatusActive
Last updated in NPPESNov 3, 2023
Details
- NPI
- 1245003003
- Entity type
- Individual (NPI-1)
- Name
- Alea Backus
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 3, 2023
- Certification date
- Nov 1, 2023
- Last updated
- Nov 3, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MAT-17289 | HI | Yes |
Practice location
45-3318 Kamani St.Honokaa, HI 96727
Phone 808-458-9553
Mailing address
Po Box 276Paauilo, HI 96776-0276
Phone 808-358-9553
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