| Organization Name: | MAUKA PHYSICAL THERAPY, INC. |
| NPI Number: | 1568650612 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARY SMITHSON-HUTTO (OWNER-PHYSICAL THERAPIST) |
| Mailing Address: | 333 Naele Rd Kula |
| State: | HI US |
| Postal Code: | 967908750 |
| Phone Number: | 8088786739 |
| Fax Number: | 8085722265 |
| NPI Enumeration Date: | 10/12/2007 |
| NPI Last Update Date: | 10/12/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | PT-801 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |