Provider Demographics
NPI:1760830988
Name:VALENTE, RACHAEL MIGITA (DPT)
Entity Type:Individual
Prefix:
First Name:RACHAEL
Middle Name:MIGITA
Last Name:VALENTE
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 1:94-801 FARRINGTON HWY STE W2
Mailing Address - Street 2:
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-3149
Mailing Address - Country:US
Mailing Address - Phone:808-680-9123
Mailing Address - Fax:
Practice Address - Street 1:9315 GRAVELLY LAKE DR SW
Practice Address - Street 2:SUITE 306
Practice Address - City:LAKEWOOD
Practice Address - State:WA
Practice Address - Zip Code:98499-1574
Practice Address - Country:US
Practice Address - Phone:253-581-5200
Practice Address - Fax:253-581-5203
Is Sole Proprietor?:No
Enumeration Date:2016-05-27
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT60645176225100000X
HI42652251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist