# ISLAND LIFE THERAPY AND WELLNESS SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073204749
- **Authorized official:** KATELYN BRANCHFLOWER MOT, OTR (OWNER/MEMBER)
- **Authorized official phone:** (818) 518-4213

## Contact information

- **Practice address:** 68-1868 PUU NUI ST, WAIKOLOA, HI 96738-5232
- **Practice address phone:** (808) 854-5746
- **Mailing address:** 68-1868 PUU NUI ST, WAIKOLOA, HI 96738-5232
- **Mailing address phone:** (808) 854-5746

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 05/15/2023
- **Last updated:** 05/15/2023