Provider Demographics
NPI:1861834574
Name:SEERLEY, LIZA (DPT)
Entity Type:Individual
Prefix:
First Name:LIZA
Middle Name:
Last Name:SEERLEY
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 1:510 KUNEHI ST
Mailing Address - Street 2:#110
Mailing Address - City:KAPOLEI
Mailing Address - State:HI
Mailing Address - Zip Code:96707-2068
Mailing Address - Country:US
Mailing Address - Phone:808-674-4454
Mailing Address - Fax:
Practice Address - Street 1:91-1027 SHANGRILA ST
Practice Address - Street 2:BUILDING 1867
Practice Address - City:KAPOLEI
Practice Address - State:HI
Practice Address - Zip Code:96707-2101
Practice Address - Country:US
Practice Address - Phone:808-674-9595
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-23
Last Update Date:2013-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPT-3393225100000X
GAPT-008809225100000X
IN05010440A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist