# KILAUEA PHYSICAL THERAPY LLP

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

## Provider details

- **NPI number:** 1275395881
- **Authorized official:** CRYSTAL OKAMOTO PT, DPT (OWNER/PHYSICAL THERAPIST)
- **Authorized official phone:** (808) 469-6906

## Contact information

- **Practice address:** 2430B OKA ST, KILAUEA, HI 96754-5332
- **Practice address phone:** (808) 320-0370
- **Practice address fax:** (808) 320-7014
- **Mailing address:** 2430B OKA ST, KILAUEA, HI 96754-5332
- **Mailing address phone:** (808) 320-0370
- **Mailing address fax:** (808) 320-7014

## Taxonomy

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

## Other

- **Enumeration date:** 01/29/2024
- **Last updated:** 10/16/2024