Individual
MS. TANYA L RAYMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, LMT
Contact information
Practice address
36 KAULUA PL, PAIA, HI 96779-9719
(808) 351-4322
(808) 757-9391
Mailing address
36 KAULUA PL, PAIA, HI 96779-9719
(808) 351-4322
(808) 757-9391
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
583
HI
225100000X
Physical Therapist
Primary
PT583
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00M0091779
HMSA
HI
05
—
07058601
—
HI
01
—
M09177-9
HMSA
HI
Enumeration date
06/16/2006
Last updated
03/15/2017
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