Individual
MATTHEW D. ELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2395 S KIHEI RD, STE 206, KIHEI, HI 96753-8635
(808) 873-8478
(808) 874-0501
Mailing address
2395 S KIHEI RD, STE 206, KIHEI, HI 96753-8635
(808) 873-8478
(808) 874-0501
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-1855
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00P0218441
HMSA BILLING NUMBER
HI
05
—
49330418
—
HI
Enumeration date
09/20/2006
Last updated
03/03/2017
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