Hawai'I Sports Performance And Rehabilitation Llc

LBN: Hawai'I Sports Performance And Rehabilitation Llc
Hawai'I Sports Performance And Rehabilitation Llc is an health care organization with primary practice located at 75-5660 Kopiko St , Kailua Kona HI 96740-3611. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Hawai'I Sports Performance And Rehabilitation Llc can be contacted via phone (304) 942-1726, or through Botje, Genelle via phone (304) 942-1726.

Contact Information

Primary practice address
75-5660 Kopiko St Kailua Kona HI 96740-3611
Phone: (304) 942-1726
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Botje, Genelle DPT
Phone: (304) 942-1726

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X

Profile Details

NPI number 1205302452
LBN Legal business name Hawai'I Sports Performance And Rehabilitation Llc
DBA Doing business as
Authorized official Botje, Genelle DPT
Entity Organization
Organization subpart 1 No
Enumeration date Oct 15th, 2018
Last updated Oct 15th, 2018 - about 7 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 1205302452 NPPES
Hawaii Other 12669923 CAQH

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