Organization
STAYFIT PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CATHERINE MARIE KOIKE PT, DPT, CERT MDT (CO-OWNER)
(808) 487-0487
Entity
Organization
Contact information
Practice address
99-128 AIEA HEIGHTS DR, SUITE 207, AIEA, HI 96701-3925
(808) 487-0487
(808) 486-8674
Mailing address
99-128 AIEA HEIGHTS DR, SUITE 207, AIEA, HI 96701-3925
(808) 487-0487
(808) 486-8674
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT-12131
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MAT 12131
DCCA
HI
Enumeration date
11/01/2012
Last updated
11/01/2012
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