Provider Demographics
NPI:1417535063
Name:SAKAMAKI, KAIMI NAZAR (DPT)
Entity Type:Individual
Prefix:
First Name:KAIMI
Middle Name:NAZAR
Last Name:SAKAMAKI
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46-012 KAMEHAMEHA HWY STE B1
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-6701
Mailing Address - Country:US
Mailing Address - Phone:808-235-2828
Mailing Address - Fax:
Practice Address - Street 1:46-012 KAMEHAMEHA HWY STE B1
Practice Address - Street 2:
Practice Address - City:KANEOHE
Practice Address - State:HI
Practice Address - Zip Code:96744-6701
Practice Address - Country:US
Practice Address - Phone:808-235-2828
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-01
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPT-5124225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist