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Individual

JOHN BOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT, DPT, CSCS

Contact information

Practice address
40 KUPAOA ST # B-201, MAKAWAO, HI 96768-6215
(808) 872-0077
Mailing address
40 KUPAOA ST # B-201, MAKAWAO, HI 96768-6215
(808) 244-0077
(808) 244-0177

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5380
HI

Other

Enumeration date
08/12/2016
Last updated
01/21/2025
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