Organization
DNA ACTIVE REHAB AND PERFORMANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH NAKASONE DPT, ATC (CO-OWNER/PHYSICAL THERAPIST)
(808) 375-0968
Entity
Organization
Contact information
Practice address
771 AMANA ST # 201, HONOLULU, HI 96814-3238
(808) 375-0968
(866) 446-2433
Mailing address
771 AMANA ST # 201, HONOLULU, HI 96814-3238
(808) 375-0968
(866) 446-2433
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-2354
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1932269297
NPI
HI
Enumeration date
09/03/2013
Last updated
05/17/2023
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