# PACIFIC PELVIC HEALTH LLC

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

## Provider details

- **NPI number:** 1497524193
- **Authorized official:** ANYA VIERRA DPT, CSCS (PHYSICAL THERAPIST)
- **Authorized official phone:** (209) 761-4442

## Contact information

- **Practice address:** 261 ULANA ST, MAKAWAO, HI 96768-8034
- **Practice address phone:** (209) 761-4442
- **Mailing address:** 261 ULANA ST, MAKAWAO, HI 96768-8034
- **Mailing address phone:** (209) 761-4442

## Taxonomy

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

## Other

- **Enumeration date:** 12/22/2023
- **Last updated:** 12/22/2023