Individual
JACQUELYN VICTORIA VAUGHAN REISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
66-210 KAMEHAMEHA HWY STE A, HALEIWA, HI 96712-2408
(808) 726-3837
(808) 427-5174
Mailing address
66-210 KAMEHAMEHA HWY STE A, HALEIWA, HI 96712-2408
(808) 726-3837
(808) 427-5174
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305207975
VA
2251X0800X
Orthopedic Physical Therapist
Primary
3797
HI
Other
Enumeration date
06/03/2013
Last updated
03/17/2025
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