Organization
KAHULUI PHYSICAL THERAPY LLC
Active
Other names
Ace Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA PROBERT ELLER PT (OWNER)
(808) 873-8478
Entity
Organization
Contact information
Practice address
2395 S KIHEI RD, STE 206, KIHEI, HI 96753-8635
(808) 873-8478
(808) 874-0501
Mailing address
2395 S KIHEI RD, STE 206, KIHEI, HI 96753-8635
(808) 873-8478
(808) 874-0501
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1859
HI
Other
Enumeration date
09/26/2007
Last updated
04/04/2019
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