Provider Demographics
NPI:1538973391
Name:HEAVENLY TOUCH MASSAGE SERVICE LLC
Entity type:Organization
Organization Name:HEAVENLY TOUCH MASSAGE SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MASSAGE THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:
Authorized Official - Last Name:AYONON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-352-2677
Mailing Address - Street 1:67-429 KIOE ST
Mailing Address - Street 2:
Mailing Address - City:WAIALUA
Mailing Address - State:HI
Mailing Address - Zip Code:96791-9631
Mailing Address - Country:US
Mailing Address - Phone:808-352-2677
Mailing Address - Fax:808-367-1865
Practice Address - Street 1:67-429 KIOE ST
Practice Address - Street 2:
Practice Address - City:WAIALUA
Practice Address - State:HI
Practice Address - Zip Code:96791-9631
Practice Address - Country:US
Practice Address - Phone:808-352-2677
Practice Address - Fax:808-367-1865
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-03
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty