NICOLE CAMACHO MAT # 14948 NPI 1407378177

NPI Information

NPI: 1407378177
Provider Name: NICOLE CAMACHO, MAT # 14948
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
75-5759 KUAKINI HWY STE 103E
KAILUA KONA, HI
ZIP 96740
Phone: (808) 937-0213
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Nicole Camacho, MAT # 14948 is a massage therapist in Kailua Kona, 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. Nicole Camacho, MAT # 14948 NPI is 1407378177. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

75-5759 KUAKINI HWY STE 103E
KAILUA KONA, HI
ZIP 96740-726
Phone: (808) 937-0213

The enumeration date for this NPI number is 7/13/2017 and was last updated on 7/13/2017.

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		14948	HAWAII	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	$$$$$$$$$	MEDICAID	HAWAII

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: 4/28/2024

NPI Synchronization or Removal

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