Provider Demographics
NPI:1255547188
Name:NORQUIST, ELSIE CHRISTINE (PT)
Entity type:Individual
Prefix:MRS
First Name:ELSIE
Middle Name:CHRISTINE
Last Name:NORQUIST
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2126
Mailing Address - Street 2:
Mailing Address - City:KIHEI
Mailing Address - State:HI
Mailing Address - Zip Code:96753-2126
Mailing Address - Country:US
Mailing Address - Phone:808-283-6817
Mailing Address - Fax:
Practice Address - Street 1:1325 S KIHEI RD
Practice Address - Street 2:SUITE 110
Practice Address - City:KIHEI
Practice Address - State:HI
Practice Address - Zip Code:96753-8179
Practice Address - Country:US
Practice Address - Phone:808-283-6817
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2011-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1953225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist