# BODYPRO PHYSICAL THERAPY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BODYPRO PHYSICAL THERAPY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235397589
- **Authorized official:** MR. JOHN ALLEN WARNEKE PT (CEO)
- **Authorized official phone:** (808) 887-1371

## Contact information

- **Practice address:** 65-1292 KAWAIHAE RD STE A, KAMUELA, HI 96743-8404
- **Practice address phone:** (808) 494-0197
- **Practice address fax:** (808) 887-1373
- **Mailing address:** PO BOX 6810, KAMUELA, HI 96743-6810
- **Mailing address phone:** (808) 887-1371
- **Mailing address fax:** (808) 887-1373

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | PT2646 | HI | Yes |

## Other

- **Enumeration date:** 05/22/2008
- **Last updated:** 01/20/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1235397589 | HMSA | HI |
| 05 | — | 1235397589 | — | HI |