# PHYSICAL THERAPY SERVICES LLC

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

## Provider details

- **NPI number:** 1790853174
- **Authorized official:** MRS. KIRSTEN JEGSEN MELCHER PT (OWNER AND PHYSICAL THERAPIST)
- **Authorized official phone:** (808) 373-4787

## Contact information

- **Practice address:** 850 W HIND DR, SUITE 104 AND 108, HONOLULU, HI 96821-1855
- **Practice address phone:** (808) 373-4787
- **Mailing address:** 850 W HIND DR, SUITE 104 AND 108, HONOLULU, HI 96821-1855
- **Mailing address phone:** (808) 373-4787

## Taxonomy

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

## Other

- **Enumeration date:** 12/01/2006
- **Last updated:** 08/22/2020
