Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
TEAM PHYSICAL THERAPY LLC
Active
Organization
TEAM PHYSICAL THERAPY LLC
Active
Other names
Enchanted Lake Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD K. A. CLARK MSPT (CO-OWNER/PHYSICAL THERAPIST)
(808) 262-2292
Entity
Organization
Contact information
Practice address
1090 KEOLU DR, SUITE 104, KAILUA, HI 96734-3871
(808) 262-2292
Mailing address
PO BOX 1440, KAILUA, HI 96734-1440
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/13/2011
Last updated
03/11/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers