Individual
KELSIE M KANESHIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1001 KAMOKILA BLVD, #114, KAPOLEI, HI 96707-2097
(808) 674-0500
(808) 674-0511
Mailing address
95-199 HOAHELE PLACE, MILILANI, HI 96789-5544
(808) 674-0500
(808) 674-0511
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5178
HI
225100000X
Physical Therapist
63376
OR
225100000X
Physical Therapist
PT5178
HI
Other
Enumeration date
07/30/2019
Last updated
07/14/2021
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