Provider Demographics
NPI:1316019581
Name:TURNER, MICHAEL DEAN (PT)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:DEAN
Last Name:TURNER
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5216 HAO PL APT A
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96821-1653
Mailing Address - Country:US
Mailing Address - Phone:808-447-7597
Mailing Address - Fax:877-657-3567
Practice Address - Street 1:5216 HAO PL APT A
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96821-1653
Practice Address - Country:US
Practice Address - Phone:808-447-7597
Practice Address - Fax:877-657-3567
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPT24022251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI103534OtherMEDICARE PTAN