# ISMATA CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Three Paths
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104868637
- **Authorized official:** MRS. SHEILA MARIE HARRIS P.T. (OWNER)
- **Authorized official phone:** (808) 779-8475

## Contact information

- **Practice address:** 130 KAILUA RD, 107, KAILUA, HI 96734-3420
- **Practice address phone:** (808) 779-8475
- **Practice address fax:** (808) 394-8702
- **Mailing address:** 7018 HAWAII KAI DR, 504, HONOLULU, HI 96825-4150
- **Mailing address phone:** (808) 779-8475
- **Mailing address fax:** (808) 394-8702

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | PT1965 | HI | Yes |

## Other

- **Enumeration date:** 06/11/2006
- **Last updated:** 08/22/2020