| Organization Name: | KEAAU PHYSICAL THERAPY INC. |
| NPI Number: | 1992991715 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NED KEN SHIMABUKURO (PRESIDENT) |
| Mailing Address: | 16-570 Keaau Pahoa Rd Keaau |
| State: | HI US |
| Postal Code: | 967498105 |
| Phone Number: | 8089667478 |
| Fax Number: | 8089667479 |
| NPI Enumeration Date: | 09/16/2007 |
| NPI Last Update Date: | 09/16/2007 |
| 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: | |