Individual
LARRY WHEELER-RUTKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2414 SONOMA ST, HONOLULU, HI 96822-6928
(808) 797-7747
Mailing address
2414 SONOMA ST, HONOLULU, HI 96822-6928
(808) 797-7747
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
HI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
HI
Other
Enumeration date
04/20/2023
Last updated
04/20/2023
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