Provider Demographics
NPI:1053440818
Name:ROYEL PHYSICAL THERAPY INC.
Entity Type:Organization
Organization Name:ROYEL PHYSICAL THERAPY INC.
Other - Org Name:LEEWARD PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROY
Authorized Official - Middle Name:S
Authorized Official - Last Name:MURAKAMI
Authorized Official - Suffix:
Authorized Official - Credentials:LPT
Authorized Official - Phone:808-671-1443
Mailing Address - Street 1:94-1036 WAIPIO UKA ST STE 105
Mailing Address - Street 2:
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-4050
Mailing Address - Country:US
Mailing Address - Phone:808-671-1443
Mailing Address - Fax:808-677-7790
Practice Address - Street 1:94-1036 WAIPIO UKA ST STE 105
Practice Address - Street 2:
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-4050
Practice Address - Country:US
Practice Address - Phone:808-671-1443
Practice Address - Fax:808-677-7790
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI574261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy