Organization
IASIS SPINAL TREATMENT CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC SEIYO KAMIMURA P.T. (MEMBER)
(808) 542-4029
Entity
Organization
Contact information
Practice address
4747 KILAUEA AVE, #201, HONOLULU, HI 96816-5308
(808) 542-4029
(808) 739-2828
Mailing address
45-502 APIKI ST, KANEOHE, HI 96744-1918
(808) 542-4029
(808) 739-2828
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1497
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000257527
HMSA INSURANCE PROVIDER #
HI
Enumeration date
01/21/2007
Last updated
08/22/2020
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