Provider Demographics
NPI:1043238710
Name:YEE, HERBERT K M (PT)
Entity Type:Individual
Prefix:MR
First Name:HERBERT
Middle Name:K M
Last Name:YEE
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 547
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-0547
Mailing Address - Country:US
Mailing Address - Phone:808-348-3763
Mailing Address - Fax:808-597-1119
Practice Address - Street 1:1314 S KING ST STE 1455
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-1948
Practice Address - Country:US
Practice Address - Phone:808-348-3763
Practice Address - Fax:808-597-1119
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2018-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI400225100000X
HIPT400225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI00424501Medicaid
HI003491OtherHMSA
HI003491OtherHMSA