MR. JEREMIAH JAKE JUSTESEN L.M.T. NPI 1245448570

NPI Information

NPI: 1245448570
Provider Name: MR. JEREMIAH JAKE JUSTESEN, L.M.T.
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
59-524 AUKAUKA PL
HALEIWA, HI
ZIP 96712
Phone: (808) 392-6046
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MR. Jeremiah Jake Justesen, L.M.T. is a massage therapist in Haleiwa, HI. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. MR. Jeremiah Jake Justesen, L.M.T. NPI is 1245448570. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

59-524 AUKAUKA PL
HALEIWA, HI
ZIP 96712-519
Phone: (808) 392-6046

The enumeration date for this NPI number is 5/18/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		9741	HAWAII	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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