Provider Demographics
NPI:1356791552
Name:CHIKARA PHYSICAL THERAPY, LLC
Entity type:Organization
Organization Name:CHIKARA PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ADRIENNE
Authorized Official - Middle Name:
Authorized Official - Last Name:OHASHI
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:808-987-2133
Mailing Address - Street 1:3009 ALA MAKAHALA PL
Mailing Address - Street 2:411
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96818-1698
Mailing Address - Country:US
Mailing Address - Phone:808-987-2133
Mailing Address - Fax:
Practice Address - Street 1:762 KANOELEHUA AVE
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-4515
Practice Address - Country:US
Practice Address - Phone:808-987-2133
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-18
Last Update Date:2016-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPT-3117261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy