Provider Demographics
NPI:1518793637
Name:BRIANNE CHILDS, LLC
Entity type:Organization
Organization Name:BRIANNE CHILDS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIANNE
Authorized Official - Middle Name:R
Authorized Official - Last Name:CHILDS
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:808-658-0801
Mailing Address - Street 1:PO BOX 81
Mailing Address - Street 2:
Mailing Address - City:KUALAPUU
Mailing Address - State:HI
Mailing Address - Zip Code:96757-0081
Mailing Address - Country:US
Mailing Address - Phone:808-658-0801
Mailing Address - Fax:
Practice Address - Street 1:1762 ALAHULA STREET
Practice Address - Street 2:
Practice Address - City:KUALAPUU
Practice Address - State:HI
Practice Address - Zip Code:96757-0081
Practice Address - Country:US
Practice Address - Phone:808-658-0801
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-13
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy