Organization
KAUAI IN-HOME THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELINDA ELIZABETH HELEN MURRAY OTR (OWNER)
(808) 652-1954
Entity
Organization
Contact information
Practice address
30544 HIGHWAY 200, PONDERAY, ID 83852-5005
(808) 652-1954
(808) 431-4244
Mailing address
815 OAK ST, SANDPOINT, ID 83864-1820
(808) 652-1954
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35327049
HMA MULTIPLAN
HI
Enumeration date
10/11/2017
Last updated
10/11/2017
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