Individual
SHELLEE N TAKARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
99-115 AIEA HEIGHTS DR STE 253, AIEA, HI 96701-3975
(808) 773-8811
(808) 495-4418
Mailing address
98-657 PAPALEALII ST, AIEA, HI 96701-2755
(808) 773-8811
(808) 495-4418
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-5526
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT-5526
HAWAII STATE PHYSICAL THERAPY LICENSE
HI
Enumeration date
10/24/2022
Last updated
08/28/2025
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