# KASHIWABARA PHYSICAL THERAPY LLC

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

## Provider details

- **NPI number:** 1770662793
- **Authorized official:** DEAN I KASHIWABARA PT (OWNER / PHYSICAL THERAPIST)
- **Authorized official phone:** (808) 386-1716

## Contact information

- **Practice address:** 98-1079 MOANALUA RD STE 610, AIEA, HI 96701-4716
- **Practice address phone:** (808) 386-1716
- **Practice address fax:** (808) 591-9420
- **Mailing address:** 2720 LOWREY AVE, HONOLULU, HI 96822-1636
- **Mailing address phone:** (808) 386-1716
- **Mailing address fax:** (808) 591-9420

## Taxonomy

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

## Other

- **Enumeration date:** 11/02/2006
- **Last updated:** 09/23/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 539926 | — | HI |