Provider Demographics
NPI:1366498974
Name:HAMAI, MELISSA M (PT)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:M
Last Name:HAMAI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:M
Other - Last Name:DOELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 616
Mailing Address - Street 2:
Mailing Address - City:HANALEI
Mailing Address - State:HI
Mailing Address - Zip Code:96714-0616
Mailing Address - Country:US
Mailing Address - Phone:808-662-6900
Mailing Address - Fax:808-443-0200
Practice Address - Street 1:55448 KUHIO HWY.
Practice Address - Street 2:A
Practice Address - City:HANALEI
Practice Address - State:HI
Practice Address - Zip Code:96714
Practice Address - Country:US
Practice Address - Phone:808-662-6900
Practice Address - Fax:808-443-0200
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2009-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPT-1854225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI00B0218541OtherHMSA BILLING NUMBER
HI49642306Medicaid
HI00B0218541OtherHMSA BILLING NUMBER