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Individual
KYLIE R NISHISAKA
Active
Individual
KYLIE R NISHISAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-5838
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT-5838
HAWAII STATE PT LICENSE
HI
Enumeration date
12/20/2023
Last updated
12/22/2023
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