Provider Demographics
NPI:1538283528
Name:FEE, JANE E (MT)
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:E
Last Name:FEE
Suffix:
Gender:F
Credentials:MT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:532 PEPEEKEO PL
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96825-1113
Mailing Address - Country:US
Mailing Address - Phone:808-255-7779
Mailing Address - Fax:808-396-8252
Practice Address - Street 1:4747 KILAUEA AVE
Practice Address - Street 2:SUITE 107
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96816-5308
Practice Address - Country:US
Practice Address - Phone:808-255-7779
Practice Address - Fax:808-396-8252
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI7629225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist