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Organization
BODYPRO PHYSICAL THERAPY INC
Active
Organization
BODYPRO PHYSICAL THERAPY INC
Active
Other names
BODYPRO PHYSICAL THERAPY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN ALLEN WARNEKE PT (CEO)
(808) 887-1371
Entity
Organization
Contact information
Practice address
65-1292 KAWAIHAE RD STE A, KAMUELA, HI 96743-8404
(808) 494-0197
(808) 887-1373
Mailing address
PO BOX 6810, KAMUELA, HI 96743-6810
(808) 887-1371
(808) 887-1373
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2646
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235397589
HMSA
HI
05
—
1235397589
—
HI
Enumeration date
05/22/2008
Last updated
01/20/2023
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