# IMI OLA PHYSICAL THERAPY, LLC

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

## Provider details

- **NPI number:** 1548193501
- **Authorized official:** JENNIFER TAKASHIMA D.P.T. (OWNER)
- **Authorized official phone:** (808) 295-9983

## Contact information

- **Practice address:** 2130 MAUNALOA HWY, KUALAPUU, HI 96757
- **Practice address phone:** (808) 658-9114
- **Mailing address:** PO BOX 109, KUALAPUU, HI 96757-0109
- **Mailing address phone:** (808) 658-9114

## Taxonomy

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

## Other

- **Enumeration date:** 06/08/2026
- **Last updated:** 06/08/2026
