Organization Name: | HAWAII'S IMPAC, LLC |
NPI Number: | 1750528436 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANDREA TAYLOR (OWNER) |
Mailing Address: | 354 Kaelepulu Dr Apt D Kailua |
State: | HI US |
Postal Code: | 967343355 |
Phone Number: | 8082776167 |
Fax Number: | 8082616440 |
NPI Enumeration Date: | 01/16/2009 |
NPI Last Update Date: | 01/16/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 895 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
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 |