Provider Demographics
NPI:1891340675
Name:WRIGHT, JOY (ATC)
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:348 N CIRCLE MAUKA PL
Mailing Address - Street 2:
Mailing Address - City:WAHIAWA
Mailing Address - State:HI
Mailing Address - Zip Code:96786-1327
Mailing Address - Country:US
Mailing Address - Phone:808-268-4898
Mailing Address - Fax:
Practice Address - Street 1:91-5431 KAPOLEI PKWY
Practice Address - Street 2:
Practice Address - City:KAPOLEI
Practice Address - State:HI
Practice Address - Zip Code:96707-5000
Practice Address - Country:US
Practice Address - Phone:808-426-9315
Practice Address - Fax:808-957-9754
Is Sole Proprietor?:No
Enumeration Date:2019-08-07
Last Update Date:2019-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer