# KAHULUI PHYSICAL THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ace Physical Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508053265
- **Authorized official:** AMANDA PROBERT ELLER PT (OWNER)
- **Authorized official phone:** (808) 873-8478

## Contact information

- **Practice address:** 2395 S KIHEI RD, STE 206, KIHEI, HI 96753-8635
- **Practice address phone:** (808) 873-8478
- **Practice address fax:** (808) 874-0501
- **Mailing address:** 2395 S KIHEI RD, STE 206, KIHEI, HI 96753-8635
- **Mailing address phone:** (808) 873-8478
- **Mailing address fax:** (808) 874-0501

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 1859 | HI | Yes |

## Other

- **Enumeration date:** 09/26/2007
- **Last updated:** 04/04/2019
