Provider Demographics
NPI:1023364759
Name:MORIGAWARA, KAI I (DPT)
Entity Type:Individual
Prefix:DR
First Name:KAI
Middle Name:I
Last Name:MORIGAWARA
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:98-476 PONO ST
Mailing Address - Street 2:
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-2107
Mailing Address - Country:US
Mailing Address - Phone:808-286-0194
Mailing Address - Fax:808-486-0194
Practice Address - Street 1:98-476 PONO ST
Practice Address - Street 2:
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-2107
Practice Address - Country:US
Practice Address - Phone:808-286-0194
Practice Address - Fax:808-486-0194
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-31
Last Update Date:2018-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPT3570225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIGROUP-H53533Medicare PIN