Provider Demographics
NPI:1457486516
Name:SPIER, DOUGLAS STUART (PT)
Entity Type:Individual
Prefix:
First Name:DOUGLAS
Middle Name:STUART
Last Name:SPIER
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46-130 NAHIKU ST
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-3626
Mailing Address - Country:US
Mailing Address - Phone:973-634-5129
Mailing Address - Fax:
Practice Address - Street 1:932 WARD AVE
Practice Address - Street 2:SUITE 600
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-2131
Practice Address - Country:US
Practice Address - Phone:808-535-5555
Practice Address - Fax:808-535-5556
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2009-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI3064261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJDO45289Medicare UPIN