Provider Demographics
NPI:1558635623
Name:PLUMMER, TAIMA (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:TAIMA
Middle Name:
Last Name:PLUMMER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:TAIMA
Other - Middle Name:
Other - Last Name:MCCARTNEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:360 HOOHANA ST # 102
Mailing Address - Street 2:
Mailing Address - City:KAHULUI
Mailing Address - State:HI
Mailing Address - Zip Code:96732-3504
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:360 HOOHANA ST # 102
Practice Address - Street 2:
Practice Address - City:KAHULUI
Practice Address - State:HI
Practice Address - Zip Code:96732-3504
Practice Address - Country:US
Practice Address - Phone:808-667-6161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-06
Last Update Date:2022-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN9794225100000X
HIPT-3495225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist