Blaine Kk Caceres
Massage Therapist
475 Awa St
Hilo
, Hawaii 96720-5809
Blaine Kk Caceres
Massage Therapist
475 Awa St
Hilo
, Hawaii 96720-5809
(808) 960-9941
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About
Features
Specialties
- Massage Therapist
Languages spoken
- English
Location
First Address
- Blaine Kk Caceres
- 475 Awa St
- Hilo, HI
- Zip : 96720-5809
- Phone : (808) 960-9941
Second Address
- Blaine Kk Caceres
- 475 Awa St
- Hilo, HI
- Zip : 96720-5809
- Phone : (808) 960-9941
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Is Blaine Kk Caceres a sole practitioner?
Is Blaine Kk Caceres accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 15734 | HI |
National Provider Identifier
| NPI | 1003463373 |
|---|---|
| Provider Name | Blaine Kk Caceres |
| First Address | Hilo, HI 96720-5809 |
| Second Address | Hilo, HI 96720-5809 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/08/2019 |
| Last Update Date | 21/08/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.