Organization
BODYPRO PHYSICAL THERAPY INC
Active
Other names
BODYPRO PHYSICAL THERAPY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN ALLEN WARNEKE PT (CEO)
(808) 887-1371
Entity
Organization
Contact information
Practice address
65-1292 KAWAIHAE RD STE A, KAMUELA, HI 96743-8404
(808) 494-0197
(808) 887-1373
Mailing address
PO BOX 6810, KAMUELA, HI 96743-6810
(808) 887-1371
(808) 887-1373
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2646
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235397589
HMSA
HI
05
—
1235397589
—
HI
Enumeration date
05/22/2008
Last updated
01/20/2023
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