# PACIFIC SPINE & REHAB

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1518326552
- **Authorized official:** ERIC WRUCK DC (OWNER)
- **Authorized official phone:** (808) 250-1166

## Contact information

- **Practice address:** 95 LONO AVE, SUITE 105, KAHULUI, HI 96732-1610
- **Practice address phone:** (808) 250-1166
- **Mailing address:** PO BOX 1140, MAKAWAO, HI 96768-1140
- **Mailing address phone:** (808) 250-1166

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NR0400X | Rehabilitation Chiropractor | DC726 | HI | — |
| 225100000X | Physical Therapist | PTA-241 | HI | Yes |

## Other

- **Enumeration date:** 02/18/2016
- **Last updated:** 02/18/2016