| Doctor Name: | MR. JONATHAN RICHARD RIDER |
| NPI Number: | 1548341795 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | R.P.T. |
| License Number: | 2457 |
| Business Practice Address: | 5-5161 Kuhio Hwy. Suite E 202 Hanalei, HI - 967140000 |
| Business Phone Number: | 8088267433 |
| Business Fax Number: | 8088267437 |
| Mailing Address: | 4345 Kuke St., KILAUEA |
| State: | HI |
| Postal Code: | 967545308 |
| Phone Number: | 8088267433 |
| Fax Number: | 8088267437 |
| NPI Enumeration Date: | 10/17/2006 |
| NPI Last Update Date: | 12/11/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 2457 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |