Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicole Kaiulani Dorothee Wilson, MAT

Individual provider Massage Therapist · NPI 1023713278

Nicole Kaiulani Dorothee Wilson, MAT is a Massage Therapist in Honolulu, Hawaii. Practices as a sole proprietor. Licensed in Hawaii.

Licensed in
HI
In the registry since
2023
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Practice location Address checks out

200 N Vineyard Blvd
Honolulu, HI 96817-3950
Phone: (808) 490-5098
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MAT-17435 (HI)

Record details

NPI number1023713278
Entity typeIndividual (Type 1)
GenderFemale
Credentials MAT
Sole proprietorYes
NPI enumeratedApril 4, 2023
Last updated in NPPESJune 19, 2023
Certification dateJune 19, 2023

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