Provider Demographics
NPI:1720741887
Name:ALARCIO, NICKOLAS A (DPT)
Entity Type:Individual
Prefix:
First Name:NICKOLAS
Middle Name:A
Last Name:ALARCIO
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:677 ALA MOANA BLVD STE 725
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-5417
Mailing Address - Country:US
Mailing Address - Phone:808-734-0010
Mailing Address - Fax:808-734-0013
Practice Address - Street 1:677 ALA MOANA BLVD STE 725
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-5417
Practice Address - Country:US
Practice Address - Phone:808-734-0010
Practice Address - Fax:808-734-0013
Is Sole Proprietor?:No
Enumeration Date:2021-10-15
Last Update Date:2021-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIT-000858245225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIT-000858245OtherHAWAII STATE PROFESSION AND VOCATIONAL LICENSING DIVISION