Provider Demographics
NPI:1437224938
Name:LYONS, CYNTHIA KA'APU (PT)
Entity Type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:KA'APU
Last Name:LYONS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:190 KEAWE ST
Mailing Address - Street 2:SUITE 13
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-2849
Mailing Address - Country:US
Mailing Address - Phone:808-934-0599
Mailing Address - Fax:808-934-0500
Practice Address - Street 1:190 KEAWE ST
Practice Address - Street 2:SUITE 13
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-2849
Practice Address - Country:US
Practice Address - Phone:808-934-0599
Practice Address - Fax:808-934-0500
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPT-656225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIA01863-8OtherHMSA 65CPLUS
HI01737901Medicaid
HIA1863-8OtherHMSA
HIA1863-8OtherHMSA
HIA01863-8OtherHMSA 65CPLUS