Provider Demographics
NPI:1437984622
Name:JOY, ALISON BROOK
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:BROOK
Last Name:JOY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ALISON
Other - Middle Name:
Other - Last Name:SCIALABBA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMP, LMT
Mailing Address - Street 1:540 MANAWAI ST APT 104
Mailing Address - Street 2:
Mailing Address - City:KAPOLEI
Mailing Address - State:HI
Mailing Address - Zip Code:96707-4540
Mailing Address - Country:US
Mailing Address - Phone:808-779-7054
Mailing Address - Fax:
Practice Address - Street 1:540 MANAWAI ST APT 104
Practice Address - Street 2:
Practice Address - City:KAPOLEI
Practice Address - State:HI
Practice Address - Zip Code:96707-4540
Practice Address - Country:US
Practice Address - Phone:808-779-7054
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-06
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMAT16332225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist