Provider Demographics
| NPI: | 1861018459 |
|---|---|
| Name: | MAUI HAND THERAPY, LLC |
| Entity type: | Organization |
| Organization Name: | MAUI HAND THERAPY, LLC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | LLC MANAGER |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | TERESA |
| Authorized Official - Middle Name: | LYNNE |
| Authorized Official - Last Name: | CAFFIERO |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 917-932-3210 |
| Mailing Address - Street 1: | 1325 S KIHEI RD STE 102 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | KIHEI |
| Mailing Address - State: | HI |
| Mailing Address - Zip Code: | 96753-8145 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 808-269-1720 |
| Mailing Address - Fax: | 866-431-9522 |
| Practice Address - Street 1: | 1325 S KIHEI RD STE 102 |
| Practice Address - Street 2: | |
| Practice Address - City: | KIHEI |
| Practice Address - State: | HI |
| Practice Address - Zip Code: | 96753-8145 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 808-269-1720 |
| Practice Address - Fax: | 866-431-9522 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2020-06-19 |
| Last Update Date: | 2020-11-04 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 225XH1200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Hand | Group - Single Specialty |