Individual
ANDREW TAKATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
1401 S BERETANIA ST, SUITE 700, HONOLULU, HI 96814-1870
(808) 536-2261
Mailing address
1401 S BERETANIA ST, SUITE 700, HONOLULU, HI 96814-1870
(808) 536-2261
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000014433
HI
Other
Enumeration date
12/11/2014
Last updated
12/11/2014
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