Individual
MR. KENNETH TAKESHI NAKASONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, ATC, CSCS
Contact information
Practice address
771 AMANA ST, # 201, HONOLULU, HI 96814-3238
(808) 375-0968
Mailing address
771 AMANA ST, # 201, HONOLULU, HI 96814-3238
(808) 375-0968
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT-2354
HI
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
12/09/2006
Last updated
01/05/2021
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