NPI 1154665537

Michael Mizuno, PTA

Practitioner Physical Therapy Assistant Honolulu, HI

Practice location

Address: 3138 Waialae Ave APT 218, Honolulu, HI 96816-1539
Phone: (808) 258-1106
Mailing address: 3138 Waialae Ave APT. #218, Honolulu, HI 96816-1535

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence AT 6688 (CA)

Other Physical Therapy Assistant providers in Hawaii →

Registry record

NPI: 1154665537
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Nov 2012
Record last updated: 27 Nov 2012

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.