ROGER BACLA-AN LMT NPI 1699293720

NPI Information

NPI: 1699293720
Provider Name: ROGER BACLA-AN, LMT
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
94-216 FARRINGTON HWY STE 202
WAIPAHU, HI
ZIP 96797
Phone: (808) 600-9147
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Roger Bacla-an, LMT is a massage therapist in Waipahu, 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. Roger Bacla-an, LMT NPI is 1699293720. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

94-216 FARRINGTON HWY STE 202
WAIPAHU, HI
ZIP 96797-900
Phone: (808) 600-9147

The enumeration date for this NPI number is 9/8/2017 and was last updated on 9/8/2017.

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		13360	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	H00556480	OTHER	HAWAII	DRIVERS LICENSE

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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