Provider Demographics
NPI:1710201660
Name:KATAYAMA, SHERI YOSHIKO (DPT)
Entity Type:Individual
Prefix:MISS
First Name:SHERI
Middle Name:YOSHIKO
Last Name:KATAYAMA
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3465 WAIALAE AVENUE
Mailing Address - Street 2:SUITE 240
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816
Mailing Address - Country:US
Mailing Address - Phone:808-753-7617
Mailing Address - Fax:808-735-3556
Practice Address - Street 1:3465 WAIALAE AVENUE
Practice Address - Street 2:SUITE 240
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96816
Practice Address - Country:US
Practice Address - Phone:808-753-7617
Practice Address - Fax:808-735-3556
Is Sole Proprietor?:No
Enumeration Date:2010-03-22
Last Update Date:2010-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPT3194225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist