Provider Demographics
NPI:1982858734
Name:HEALTH IN HARMONY
Entity Type:Organization
Organization Name:HEALTH IN HARMONY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:STARE
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:808-263-0343
Mailing Address - Street 1:602 KAILUA RD
Mailing Address - Street 2:#202
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-2841
Mailing Address - Country:US
Mailing Address - Phone:808-263-0343
Mailing Address - Fax:808-441-0119
Practice Address - Street 1:602 KAILUA RD
Practice Address - Street 2:STE 202
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-2841
Practice Address - Country:US
Practice Address - Phone:808-263-0343
Practice Address - Fax:808-441-0119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-06
Last Update Date:2012-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI2677261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy