| Organization Name: | ALOHA SPORTS MEDICINE & PHYSICAL THERAPY OF KAUAI |
| NPI Number: | 1104269083 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHERYL CLAYPOOLE (PRES.) |
| Mailing Address: | 2460 Oka St Ste 201 Kilauea |
| State: | HI US |
| Postal Code: | 967545308 |
| Phone Number: | 8088281128 |
| Fax Number: | 8088281124 |
| NPI Enumeration Date: | 04/10/2013 |
| NPI Last Update Date: | 04/10/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 1811 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |