JAN LEE KOO (NPI# 1619131919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619131919 |
| Entity Type | Individual |
| Full Name | JAN LEE KOO |
| Credential | LMT |
| Practice Address |
932 Ward Ave Fl 6 Honolulu HI 96814-2131 |
| Mailing Address |
Po Box 61557 Honolulu HI 96839-1557 |
| Practice Telephone | 8085355555 |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2008-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 10507 | HI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
932 WARD AVE FL 6 |
| City | HONOLULU |
| State | HI |
| Zip Code | 96814-2131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851480701 | Christella Guzman | Nurse Practitioner | 932 Ward Ave Fl 6, Honolulu, HI 96814-2131 | 2006-10-11 |
| 1417460841 | Rodel Camarenez Claros | Massage Therapist | 932 Ward Ave Fl 6, Honolulu, HI 96814-2131 | 2017-11-07 |
| 1255843967 | Lora Beth Linehan | Occupational Therapy Assistant | 932 Ward Ave Fl 6, Honolulu, HI 96814-2131 | 2017-11-03 |
| 1912446477 | Jason Wong | Massage Therapist | 932 Ward Ave Fl 6, Honolulu, HI 96814-2131 | 2017-02-16 |
| 1407394828 | Venesh Sharma | Naturopath | 932 Ward Ave Fl 6, Honolulu, HI 96814 | 2017-02-06 |
| 1053859603 | Dean Alipio | Prevention Professional | 932 Ward Ave Fl 6, Honolulu, HI 96814-2131 | 2017-02-03 |
| 1316489073 | Deborah Lynne Wilson | Contractor | 932 Ward Ave Fl 6, Honolulu, HI 96814-2131 | 2016-11-12 |
| 1427507334 | Leah Reed | Rehabilitation Practitioner | 932 Ward Ave Fl 6, Honolulu, HI 96814-2131 | 2016-10-04 |
| 1184083305 | Delila Newman | Massage Therapist | 932 Ward Ave Fl 6, Honolulu, HI 96814-2131 | 2016-02-16 |
| 1891115358 | Lisa Catherine Dunlap | Nurse Practitioner | 932 Ward Ave Fl 6, Honolulu, HI 96814-2131 | 2014-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746478 | Ross Thomas Fujimori Pascual | Pharmacist | 750 Keeaumoku Street, Honolulu, HI 96814 | 2020-10-01 |
| 1336755263 | Hawaikikitelehealth LLC | Counselor | 1108 Auwahi Street, 1506, Honolulu, HI 96814 | 2020-09-16 |
| 1225647324 | Metaphysio Hawaii LLC | Physical Therapist | 1350 South King Street Suite 303, Honolulu, HI 96814 | 2020-07-24 |
| 1114572161 | Alyssa Foster | Social Worker | 1314 S King St Ste 1152, Honolulu, HI 96814 | 2019-08-07 |
| 1871157628 | Ala Moana Walk-in Medical Clinic, Inc | Nurse Practitioner | 410 Atkinson Dr., Level 3, Honolulu, HI 96814 | 2019-04-26 |
| 1528524014 | Regenerative Living Private Duty Inc | Home Health Aide | 1314 South King Street Ste 853, Honolulu, HI 96814 | 2019-02-20 |
| 1295299428 | Kaori Utashiro | Massage Therapist | 1450 Ala Moana Blvd. Suite1227, Honolulu, HI 96814 | 2019-01-22 |
| 1619444569 | Optimized Health LLC | General Practice | 1441 Kapiolani Blvd Ste 1114, #23464, Honolulu, HI 96814 | 2018-10-30 |
| 1356823785 | Tara Yamauchi-lum LLC | Marriage & Family Therapist | 615 Piikoi Street Suite 1109, Honolulu, HI 96814 | 2018-09-01 |
| 1992283980 | Sonia Q. Cosio, D.d.s | Dentist | 1441 Kapiolani Blvd #518, Honolulu, HI 96814 | 2018-08-01 |
| Find all providers in zip 96814 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932715166 | Gabrielle Maila Kaea | Massage Therapist | 600 Kapiolani Blvd Ste 202, Honolulu, HI 96813-5139 | 2020-09-22 |
| 1619595097 | Toni Xu Tang | Massage Therapist | 2421 Ala Wai Blvd Apt 1203, Honolulu, HI 96815-3480 | 2020-07-11 |
| 1083238240 | Tenisha Ruidas LLC | Massage Therapist | 3009 Ala Makahala Pl Apt 1202, Honolulu, HI 96818-7607 | 2020-06-03 |
| 1124641352 | Jamie Sedeno | Massage Therapist | 1001 Waimanu St Ste D, Honolulu, HI 96814-3411 | 2020-05-21 |
| 1568099216 | Jordann Hanayo Kalae Patricio | Massage Therapist | 1652 Frog Ln, Honolulu, HI 96817-3120 | 2020-03-24 |
| 1285271064 | Gordon W.s. Wong | Massage Therapist | 1236 Waimanu St Ste A, Honolulu, HI 96814-4305 | 2019-11-29 |
| 1417590332 | Althea Gatto | Massage Therapist | 236 Liliuokalani Ave Apt 102, Honolulu, HI 96815-3512 | 2019-10-23 |
| 1376193466 | Maria Marcelina Millon | Massage Therapist | 4182 Halupa St, Honolulu, HI 96818-1815 | 2019-09-19 |
| 1104475292 | Manuel Gonsalves | Massage Therapist | 1319 Punahou St Ste 910, Honolulu, HI 96826-1088 | 2019-09-10 |
| 1598318537 | Althea Gatto | Massage Therapist | Orthosport 5722 Kalaniana'ole Hwy, Honolulu, HI 96821 | 2019-07-18 |
| Find all providers in HONOLULU | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.