| Organization Name: | KAUAI IN-HOME THERAPY LLC |
| NPI Number: | 1740526938 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MELINDA E. MURRAY (CEO OWNER) |
| Mailing Address: | 2-2514 Kaumualii Highway Ste. 205 Kalaheo |
| State: | HI US |
| Postal Code: | 96746 |
| Phone Number: | 8083333688 |
| Fax Number: | 8084314244 |
| NPI Enumeration Date: | 12/17/2012 |
| NPI Last Update Date: | 12/17/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |