Provider Demographics
NPI:1487292231
Name:TOYOTA, MINDEN KIYOMI KU'UALOHA (LMT)
Entity type:Individual
Prefix:MRS
First Name:MINDEN
Middle Name:KIYOMI KU'UALOHA
Last Name:TOYOTA
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45-656 APAPANE PL
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-1960
Mailing Address - Country:US
Mailing Address - Phone:808-235-1776
Mailing Address - Fax:
Practice Address - Street 1:600 QUEEN ST STE C2
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-5113
Practice Address - Country:US
Practice Address - Phone:808-952-6900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-11
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
11433225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist