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KAILUA PHYSICAL THERAPY CLINIC INC NPI 1003004896


NPI Profile

NPI: 1003004896
Provider Name: KAILUA PHYSICAL THERAPY CLINIC, INC
Classification:Specialist - 174400000X
Entity Type: Organization
Address:
155 HAMAKUA DR
SUITE B
KAILUA, HI
ZIP 96734
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Phone: (808) 261-8931

KAILUA PHYSICAL THERAPY CLINIC, INC is a specialist in Kailua, HI. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. KAILUA PHYSICAL THERAPY CLINIC, INC NPI is 1003004896. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

155 HAMAKUA DR
SUITE B
KAILUA, HI
ZIP 96734-849
Phone: (808) 261-8931
Fax: (808) 261-0301

The provider's authorized official is Janet S. Barretta .
The authorized official title is Owner/president and has the following contact phone number (808) 261-8931.

The enumeration date for this NPI number is 10/5/2007 and was last updated on 10/5/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist662HAWAIIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1HKPTOTHERHAWAIIMEDICARE ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/7/2021

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