Provider Demographics
NPI:1730811183
Name:ABAD, JASMIN JOY (LMT)
Entity type:Individual
Prefix:
First Name:JASMIN JOY
Middle Name:
Last Name:ABAD
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:JAYJAY
Other - Middle Name:
Other - Last Name:ABAD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MASSAGE THERAPIST
Mailing Address - Street 1:94-1198 KAHUAHALE STREET
Mailing Address - Street 2:
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-3503
Mailing Address - Country:US
Mailing Address - Phone:808-728-0310
Mailing Address - Fax:
Practice Address - Street 1:94-356 UNIT F WAIPAHU DEPOT STREET
Practice Address - Street 2:
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797
Practice Address - Country:US
Practice Address - Phone:808-728-0310
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-25
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMAT-15528225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist