Doctor Name: | MS. BETTY A FACKLER |
NPI Number: | 1134217656 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 1737 |
Business Practice Address: | 82-6066 Mamalahoa Hwy Suite 7 Captain Cook, HI - 967048204 |
Business Phone Number: | 8083238123 |
Business Fax Number: | 8083238125 |
Mailing Address: | 82-6066 Mamalahoa Hwy, Suite 7 CAPTAIN COOK |
State: | HI |
Postal Code: | 967048204 |
Phone Number: | 8083238123 |
Fax Number: | 8083238125 |
NPI Enumeration Date: | 10/10/2006 |
NPI Last Update Date: | 02/06/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1737 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |