Individual
KATIE J. VITOUSEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
75-5699 KOPIKO ST, KAILUA KONA, HI 96740-3651
(808) 329-7744
Mailing address
75-5699 KOPIKO ST, KAILUA KONA, HI 96740-3651
(808) 329-7744
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-3114
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
99-0353213
HMAA
HI
Enumeration date
09/28/2009
Last updated
07/20/2011
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