Betty Fackler Dba South Kona Physical Therapy

LBN: Betty Fackler Dba South Kona Physical Therapy
Betty Fackler Dba South Kona Physical Therapy is an health care organization with primary practice located at 82-6066 Mamalahoa Hwy 7, Captain Cook HI 96704-8204. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Betty Fackler Dba South Kona Physical Therapy can be contacted via phone (808) 323-8123, or through Lacey, Mendy via phone (808) 322-6149.

Contact Information

Primary practice address
82-6066 Mamalahoa Hwy 7 Captain Cook HI 96704-8204
Phone: (808) 323-8123
Fax: (808) 323-8125
Website:
Map and Directions
Authorized official contact:
Name: Lacey, Mendy
Phone: (808) 322-6149

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X PT-1737 Hawaii

Profile Details

NPI number 1568918431
LBN Legal business name Betty Fackler Dba South Kona Physical Therapy
DBA Doing business as
Authorized official Lacey, Mendy
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2016
Last updated Aug 30th, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568918431 NPPES
Hawaii MEDICAID 57447703

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