Provider Demographics
NPI:1073290763
Name:ESAKI, TEYANNI JAZLYNN ALEJANDRO (DPT)
Entity Type:Individual
Prefix:
First Name:TEYANNI
Middle Name:JAZLYNN ALEJANDRO
Last Name:ESAKI
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1450 YOUNG ST APT 2105
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-1857
Mailing Address - Country:US
Mailing Address - Phone:808-652-2142
Mailing Address - Fax:
Practice Address - Street 1:94-801 FARRINGTON HWY STE W2
Practice Address - Street 2:
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-3149
Practice Address - Country:US
Practice Address - Phone:808-680-9123
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-03
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPT-5714225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist