Provider Demographics
NPI:1235395070
Name:TROPICS ISLAND THERAPY, LLC
Entity Type:Organization
Organization Name:TROPICS ISLAND THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:KOEPFGEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-335-2790
Mailing Address - Street 1:P.O. BOX 625
Mailing Address - Street 2:
Mailing Address - City:ELEELE
Mailing Address - State:HI
Mailing Address - Zip Code:96705
Mailing Address - Country:US
Mailing Address - Phone:808-335-2790
Mailing Address - Fax:808-335-2792
Practice Address - Street 1:4353 WAIALO ROAD
Practice Address - Street 2:SUITE 5B
Practice Address - City:ELEELE
Practice Address - State:HI
Practice Address - Zip Code:96705-0948
Practice Address - Country:US
Practice Address - Phone:808-335-2790
Practice Address - Fax:808-335-2792
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TROPICS ISLAND THERAPY, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-07-31
Last Update Date:2014-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMAE 2299225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty