Provider Demographics
NPI:1013944982
Name:TSUJI, GARVIN (MS, AT, C)
Entity Type:Individual
Prefix:MR
First Name:GARVIN
Middle Name:
Last Name:TSUJI
Suffix:
Gender:M
Credentials:MS, AT, C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4361 SALT LAKE BLVD
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96818-3124
Mailing Address - Country:US
Mailing Address - Phone:808-421-4240
Mailing Address - Fax:808-421-4240
Practice Address - Street 1:4361 SALT LAKE BLVD
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96818-3124
Practice Address - Country:US
Practice Address - Phone:808-421-4240
Practice Address - Fax:808-421-4240
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer