# KAHEKA REHAB CLINIC, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Victor M. Yamamoto
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578698577
- **Authorized official:** MR. VICTOR MITSUO YAMAMOTO LMT (CEO)
- **Authorized official phone:** (808) 955-9000

## Contact information

- **Practice address:** 1481 S KING ST, STE 327, HONOLULU, HI 96814-2506
- **Practice address phone:** (808) 955-9000
- **Practice address fax:** (808) 955-9002
- **Mailing address:** 1481 S KING ST, STE 327, HONOLULU, HI 96814-2604
- **Mailing address phone:** (808) 955-9000
- **Mailing address fax:** (808) 955-9002

## Taxonomy

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

## Other

- **Enumeration date:** 02/22/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1255470829 | PHYSICAL THERAPIST | MA |