Provider Demographics
NPI:1053575498
Name:WESTMORELAND, ROCHELLE R (MASSAGE THERAPIST)
Entity type:Individual
Prefix:MRS
First Name:ROCHELLE
Middle Name:R
Last Name:WESTMORELAND
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:SHELLY
Other - Middle Name:
Other - Last Name:WESTMORELAND
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:603 PAMAELE STREET
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734
Mailing Address - Country:US
Mailing Address - Phone:808-282-7372
Mailing Address - Fax:
Practice Address - Street 1:801 DILLINGHAM BLVD
Practice Address - Street 2:ST 101
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817
Practice Address - Country:US
Practice Address - Phone:808-282-7372
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-15
Last Update Date:2008-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMAT6171225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist