# SHORELINE PHYSICAL THERAPY

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

## Provider details

- **NPI number:** 1851824486
- **Authorized official:** MR. BRIAN D JONES DPT (CO-OWNER)
- **Authorized official phone:** (239) 440-1075

## Contact information

- **Practice address:** 66-150 KAMEHAMEHA HWY, HALEIWA, HI 96712-1440
- **Practice address phone:** (808) 799-7137
- **Practice address fax:** (808) 356-1084
- **Mailing address:** 66-150 KAMEHAMEHA HWY, HALEIWA, HI 96712-1440
- **Mailing address phone:** (808) 799-7137
- **Mailing address fax:** (808) 356-1084

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 2251S0007X | Sports Physical Therapist | — | NULL | — |
| 2251S0007X | Sports Physical Therapist | — | — | — |
| 2251X0800X | Orthopedic Physical Therapist | — | NULL | — |
| 2251X0800X | Orthopedic Physical Therapist | — | — | — |

## Other

- **Enumeration date:** 04/11/2017
- **Last updated:** 04/11/2017