Provider Demographics
NPI:1225790140
Name:STRAIN, ELIZABETH R (DPT)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:R
Last Name:STRAIN
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 1:37 KUAIWA WAY
Mailing Address - Street 2:UNIT 20D
Mailing Address - City:WAILUKU
Mailing Address - State:HI
Mailing Address - Zip Code:96793-3115
Mailing Address - Country:US
Mailing Address - Phone:425-260-9186
Mailing Address - Fax:
Practice Address - Street 1:135 WAKEA AVE
Practice Address - Street 2:#112
Practice Address - City:KAHULI
Practice Address - State:HI
Practice Address - Zip Code:96732-1385
Practice Address - Country:US
Practice Address - Phone:808-280-7711
Practice Address - Fax:808-442-0690
Is Sole Proprietor?:No
Enumeration Date:2021-10-07
Last Update Date:2022-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPT5371225100000X
CA296317225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist