Individual
KRISTIE HIROMI TANAKA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
650 IWILEI RD, SUITE 265, HONOLULU, HI 96817-5086
(808) 550-4774
Mailing address
650 IWILEI RD, SUITE 265, HONOLULU, HI 96817-5086
(808) 550-4774
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 2560
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3142555
UNIVERSITY HEALTH ALLIANC
HI
Enumeration date
05/31/2006
Last updated
07/08/2007
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