Provider Demographics
NPI:1063446235
Name:YANAI, JOY T (DPT)
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:T
Last Name:YANAI
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:JOY
Other - Middle Name:T
Other - Last Name:DENZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:407 ULUNIU ST STE 301
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-2544
Mailing Address - Country:US
Mailing Address - Phone:808-261-4321
Mailing Address - Fax:808-261-4320
Practice Address - Street 1:45-035 KANEOHE BAY DR
Practice Address - Street 2:
Practice Address - City:KANEOHE
Practice Address - State:HI
Practice Address - Zip Code:96744-2417
Practice Address - Country:US
Practice Address - Phone:808-235-5398
Practice Address - Fax:808-235-6359
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2017-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI2055225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI101451Medicare ID - Type Unspecified