Provider Demographics
NPI:1023286572
Name:GUIWA, REYMUND ALEJO (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:MR
First Name:REYMUND
Middle Name:ALEJO
Last Name:GUIWA
Suffix:
Gender:M
Credentials:PHYSICAL THERAPIST
Other - Prefix:MR
Other - First Name:REYMUND
Other - Middle Name:ALEJO
Other - Last Name:GUIWA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT
Mailing Address - Street 1:12 HAKALANI PL
Mailing Address - Street 2:
Mailing Address - City:WAILUKU
Mailing Address - State:HI
Mailing Address - Zip Code:96793-3107
Mailing Address - Country:US
Mailing Address - Phone:660-202-3016
Mailing Address - Fax:
Practice Address - Street 1:12 HAKALANI PL
Practice Address - Street 2:
Practice Address - City:WAILUKU
Practice Address - State:HI
Practice Address - Zip Code:96793-3107
Practice Address - Country:US
Practice Address - Phone:660-202-3016
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-19
Last Update Date:2021-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225100000X
MO2008003304225100000X
HI2882225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty