Provider Demographics
NPI:1821038969
Name:FRULAND, SHAUNA LEILANI (DPT)
Entity Type:Individual
Prefix:
First Name:SHAUNA
Middle Name:LEILANI
Last Name:FRULAND
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:SHAUNA
Other - Middle Name:LEILANI
Other - Last Name:TURNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:95-1105 AINAMAKUA DR STE 203
Mailing Address - Street 2:
Mailing Address - City:MILILANI
Mailing Address - State:HI
Mailing Address - Zip Code:96789-6313
Mailing Address - Country:US
Mailing Address - Phone:808-381-8947
Mailing Address - Fax:800-586-4356
Practice Address - Street 1:95-1105 AINAMAKUA DR STE 203
Practice Address - Street 2:
Practice Address - City:MILILANI
Practice Address - State:HI
Practice Address - Zip Code:96789-6313
Practice Address - Country:US
Practice Address - Phone:808-381-8947
Practice Address - Fax:800-586-4356
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD27286225100000X
FLPT31957225100000X
IDPT 2017225100000X
HI3204225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist