Provider Demographics
NPI:1376187740
Name:PUMP, DONALD E (MS, ACSM-CEP)
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:E
Last Name:PUMP
Suffix:
Gender:M
Credentials:MS, ACSM-CEP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91-1411 KEONEULA BLVD UNIT 2103
Mailing Address - Street 2:
Mailing Address - City:EWA BEACH
Mailing Address - State:HI
Mailing Address - Zip Code:96706-6453
Mailing Address - Country:US
Mailing Address - Phone:808-295-8510
Mailing Address - Fax:
Practice Address - Street 1:91-1411 KEONEULA BLVD UNIT 2103
Practice Address - Street 2:
Practice Address - City:EWA BEACH
Practice Address - State:HI
Practice Address - Zip Code:96706-6453
Practice Address - Country:US
Practice Address - Phone:808-295-8510
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-29
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Y00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersClinical Exercise Physiologist