NPI 1639380264

Therapeutic Associates of Maui, LLC

Organisation Prosthetic/Orthotic Supplier Kahului, HI

Practice location

Address: 111 Hana Hwy Suite 107, Kahului, HI 96732-2300
Phone: (808) 877-8717
Fax: (808) 877-8718

Authorised official

Name: John T Mizoguchi
Title: Authorized Official
Phone: (808) 877-8717

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

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Registry record

NPI: 1639380264
Entity type: Organization
NPI issued: 25 May 2007
Record last updated: 7 Dec 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.