Provider Demographics
NPI:1497276687
Name:NIHI, JARED
Entity Type:Individual
Prefix:
First Name:JARED
Middle Name:
Last Name:NIHI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1887 MAKUAKANE ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-1800
Mailing Address - Country:US
Mailing Address - Phone:808-842-8503
Mailing Address - Fax:808-843-3397
Practice Address - Street 1:2654 NAMAUU DR
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-1332
Practice Address - Country:US
Practice Address - Phone:808-341-3934
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-28
Last Update Date:2017-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer