| Doctor Name: | MS. TARA LYNN TANNENHOLZ |
| NPI Number: | 1285843136 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RPT |
| License Number: | 2468 |
| Business Practice Address: | 45-1144 Kamehameha Hwy Suite 305 Kaneohe, HI - 967443244 |
| Business Phone Number: | 8082357999 |
| Business Fax Number: | 8082357992 |
| Mailing Address: | Po Box 283281, HONOLULU |
| State: | HI |
| Postal Code: | 968283281 |
| Phone Number: | 8083487747 |
| Fax Number: | 8083560888 |
| NPI Enumeration Date: | 05/21/2007 |
| NPI Last Update Date: | 07/28/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 2468 |
| 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 |