Organization
ORTHOSPORT HAWAII, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL DEAN TURNER P.T. (MEMBER - MANAGER)
(808) 777-5054
Entity
Organization
Contact information
Practice address
5722 KALANIANAOLE HWY, HONOLULU, HI 96821-2388
(808) 373-3555
(808) 373-3666
Mailing address
5216 HAO PL APT A, HONOLULU, HI 96821-1653
(808) 358-3881
(808) 373-3666
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
PT2402
HI
2251X0800X
Orthopedic Physical Therapist
Primary
PT2402
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103533
MEDICARE PTAN
HI
Enumeration date
03/06/2008
Last updated
05/07/2021
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