Provider Demographics
NPI:1922200088
Name:OSHIRO, ROSS SADAO (ATC CSCS LMT)
Entity Type:Individual
Prefix:MR
First Name:ROSS
Middle Name:SADAO
Last Name:OSHIRO
Suffix:
Gender:M
Credentials:ATC CSCS LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3221 WAIALAE AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-5842
Mailing Address - Country:US
Mailing Address - Phone:808-732-1467
Mailing Address - Fax:808-733-9890
Practice Address - Street 1:3221 WAIALAE AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96816
Practice Address - Country:US
Practice Address - Phone:808-732-1467
Practice Address - Fax:808-247-1768
Is Sole Proprietor?:No
Enumeration Date:2007-06-01
Last Update Date:2008-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2255A2300X
HIMAT-4202225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist