| Doctor Name: | CHARLES E RAINEY |
| NPI Number: | 1710326376 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | 2009019317 |
| Business Practice Address: | 1253 Makalapa Rd Bldg 1514 Jbphh, HI - 968604479 |
| Business Phone Number: | 8084732444 |
| Business Fax Number: | 6194375614 |
| Mailing Address: | 2211 Bancroft Dr, KAILUA |
| State: | HI |
| Postal Code: | 967346230 |
| Phone Number: | 4177664785 |
| Fax Number: | |
| NPI Enumeration Date: | 06/17/2013 |
| NPI Last Update Date: | 03/26/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251S0007X |
| License Number: | 2009019317 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Sports |
| Taxonomy Definition: | |