JESSICA CRUZ MAT NPI 1962005843

NPI Information

  • NPI: 1962005843
  • Provider Name: JESSICA CRUZ, MAT
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 719 KAMEHAMEHA HWY STE B101
    PEARL CITY, HI
    ZIP 96782
  • Phone: (808) 723-2921

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NPI Details

Jessica Cruz, MAT is a massage therapist in Pearl City, 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. Jessica Cruz, MAT NPI is 1962005843. 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:

719 KAMEHAMEHA HWY STE B101
PEARL CITY, HI
ZIP 96782-771
Phone: (808) 723-2921
Fax: (808) 484-9106

The enumeration date for this NPI number is 11/20/2020 and was last updated on 11/20/2020.

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 TherapistMAT-12032HAWAIIYes

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
1576616MEDICAIDHAWAII

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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