| Organization Name: | RECHARGE THERAPY LLC |
| NPI Number: | 1497161772 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CARRI M DOMINICK (OWNER/PHYSICAL THERAPIST) |
| Mailing Address: | 59-794 Kamehameha Hwy #a1 Haleiwa |
| State: | HI US |
| Postal Code: | 967129424 |
| Phone Number: | 8082245860 |
| Fax Number: | 8083561719 |
| NPI Enumeration Date: | 07/07/2014 |
| NPI Last Update Date: | 09/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 3108 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |