Provider Demographics
NPI:1679841928
Name:KIMURA, SAKI (DPT)
Entity Type:Individual
Prefix:
First Name:SAKI
Middle Name:
Last Name:KIMURA
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:SAKI
Other - Middle Name:
Other - Last Name:TOGUCHI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:120 KAIUIANI AVE.
Mailing Address - Street 2:# KW 10 & 11
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96815
Mailing Address - Country:US
Mailing Address - Phone:808-304-6676
Mailing Address - Fax:808-800-2654
Practice Address - Street 1:120 KAIUIANI AVE.
Practice Address - Street 2:# KW 10 & 11
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96815
Practice Address - Country:US
Practice Address - Phone:808-304-6676
Practice Address - Fax:808-800-2654
Is Sole Proprietor?:No
Enumeration Date:2011-12-01
Last Update Date:2020-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR6683225100000X
WI11869-024225100000X
HIPT 3450225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist