Provider Demographics
NPI:1023587698
Name:BARR, JARICA (MASSAGE THERAPIST)
Entity type:Individual
Prefix:MS
First Name:JARICA
Middle Name:
Last Name:BARR
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13-3440 ALAPAI ST
Mailing Address - Street 2:
Mailing Address - City:PAHOA
Mailing Address - State:HI
Mailing Address - Zip Code:96778-8314
Mailing Address - Country:US
Mailing Address - Phone:831-539-1631
Mailing Address - Fax:
Practice Address - Street 1:13-3440 ALAPAI ST
Practice Address - Street 2:
Practice Address - City:PAHOA
Practice Address - State:HI
Practice Address - Zip Code:96778-8314
Practice Address - Country:US
Practice Address - Phone:831-539-1631
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-13
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIACU-1387171100000X
HI10249225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No171100000XOther Service ProvidersAcupuncturist