Organization Name: | PHYSICAL THERAPY AND WELLNESS CENTER OF MAUI LLC |
NPI Number: | 1578623211 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEBORAH A JACOB (MEMBER OWNER) |
Mailing Address: | 53 N. Puunene Ave Suite 104 Kahului |
State: | HI US |
Postal Code: | 96732 |
Phone Number: | 8088710900 |
Fax Number: | 8088719119 |
NPI Enumeration Date: | 12/11/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |