Individual
THOMAS A HAZELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2-2488 KAUMUALII HWY, KALAHEO, HI 96741-8311
(808) 335-5808
(808) 335-5657
Mailing address
2-2488 KAUMUALII HWY, KALAHEO, HI 96741-8311
(808) 335-5808
(808) 335-5657
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT582
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00E0016930
HMSA
HI
01
—
00F0016938
HMSA
HI
01
—
521321
HMA
—
Enumeration date
09/16/2006
Last updated
08/13/2013
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