Organization
ENPHYSIO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANNER CRASS (OWNER)
(509) 554-2209
Entity
Organization
Contact information
Practice address
94-181 KEAOLANI ST, MILILANI, HI 96789-1823
(509) 554-2209
Mailing address
94-181 KEAOLANI ST, MILILANI, HI 96789-1823
(509) 554-2209
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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