NPI 1043628837

Samantha Henriques, MSATCCSCS

Practitioner Athletic Trainer Kapaa, HI

Practice location

Address: 4695 Mailihuna Rd, Kapaa, HI 96746-2051
Phone: (808) 821-4401
Fax: (808) 821-4420
Mailing address: 5011 Malu Rd, Kapaa, HI 96746-1758

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT-57 (HI)

Other Specialist/Technologist providers in Hawaii →

Registry record

NPI: 1043628837
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Jul 2014
Record last updated: 24 Jul 2014

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.