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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NPI Details

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
1225700000XMassage Therapist14948HAWAIIYes

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$$$$$$$$$MEDICAIDHAWAII

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: 11/21/2025

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