Individual
EMMANUEL FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
599 FARRINGTON HWY STE 102, KAPOLEI, HI 96707-2028
(808) 674-1142
(808) 674-1143
Mailing address
599 FARRINGTON HWY STE 102, KAPOLEI, HI 96707-2028
(808) 674-1142
(808) 674-1143
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-791
HI
Other
Enumeration date
02/13/2026
Last updated
02/13/2026
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