# KONA REHAB, LLC

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

## Provider details

- **NPI number:** 1285878934
- **Authorized official:** MS. AMY DAVIS (OWNER)
- **Authorized official phone:** (808) 334-0806

## Contact information

- **Practice address:** 75-1029 HENRY ST, SUITE 101, KAILUA KONA, HI 96740-1666
- **Practice address phone:** (808) 334-0806
- **Mailing address:** 75-1029 HENRY ST, SUITE 101, KAILUA KONA, HI 96740-1666
- **Mailing address phone:** (808) 334-0806

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 1924 | HI | Yes |
| 225X00000X | Occupational Therapist | 51 | HI | — |

## Other

- **Enumeration date:** 04/25/2009
- **Last updated:** 04/29/2009