Individual
DR. MICHAEL ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
81 MAKAWAO AVE STE 110, MAKAWAO, HI 96768-8859
(808) 572-2281
(808) 573-5869
Mailing address
81 MAKAWAO AVE, STE 110, MAKAWAO, HI 96768-8859
(808) 572-2281
(808) 573-5869
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5176
HI
225100000X
Physical Therapist
PT292198
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13804495
CAQH
—
Enumeration date
04/04/2014
Last updated
07/27/2021
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