Provider Demographics
NPI:1568649622
Name:NAKAJI, GAYE LYNN
Entity Type:Individual
Prefix:MRS
First Name:GAYE
Middle Name:LYNN
Last Name:NAKAJI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:GAYE
Other - Middle Name:LYNN
Other - Last Name:GUNTER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:47-544 KAAOHUA WAY
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-4602
Mailing Address - Country:US
Mailing Address - Phone:808-753-5038
Mailing Address - Fax:808-593-1399
Practice Address - Street 1:155 HAMAKUA DR STE B
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-2849
Practice Address - Country:US
Practice Address - Phone:808-261-8931
Practice Address - Fax:808-261-0301
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-30
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1137225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist