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Organization

MAUKA PHYSICAL THERAPY, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARY SMITHSON-HUTTO MS,RPT,ATC,LMT (OWNER-PHYSICAL THERAPIST)
(808) 878-6739
Entity
Organization

Contact information

Practice address
333 NAELE RD, KULA, HI 96790-8750
(808) 878-6739
(808) 572-2265
Mailing address
PO BOX 1555, MAKAWAO, HI 96768-1555
(808) 878-6739
(808) 572-2265

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT-801
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
055241-01
HI
Enumeration date
10/12/2007
Last updated
10/12/2007
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