Individual
MISS KRISTEN E.W. SHIMABUKURO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1401 S BERETANIA ST STE 550, HONOLULU, HI 96814-1880
(808) 381-8947
(808) 591-2245
Mailing address
1401 S BERETANIA ST STE 550, HONOLULU, HI 96814-1880
(808) 381-8947
(808) 591-2245
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
T190605003
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
53213
UNIVERSITY HEALTH ALLIANCE
HI
Enumeration date
07/27/2019
Last updated
07/27/2019
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