Organization
KEAAU PHYSICAL THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NED KEN SHIMABUKURO PT (PRESIDENT)
(808) 966-7478
Entity
Organization
Contact information
Practice address
16-570 KEAAU PAHOA RD, KEAAU, HI 96749-8105
(808) 966-7478
(808) 966-7479
Mailing address
16-570 KEAAU PAHOA RD, KEAAU, HI 96749-8105
(808) 966-7478
(808) 966-7479
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02588291
—
HI
Enumeration date
09/16/2007
Last updated
09/16/2007
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