Impact Sports Inc

NPI 1245244912 - Physical Therapist - 225100000X

NPI Details
NPI 1245244912
Enumeration Date 07/28/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name STEVE STEVE
Position PRESIDENT
Phone (808) 246-0144
Fax (808) 245-5148
Practice Location
4381 KUKUI GROVE ST
SUITE 3
LIHUE HI, 96766, US
Phone (808) 246-0144
Fax (808) 245-5148
Business Location
4381 KUKUI GROVE ST
SUITE 3
LIHUE HI, 96766, US
Phone (808) 246-0144
Fax (808) 245-5148
Toxanomy
Taxonomy Code 225100000X
License State
License Number
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According to our database, Impact Sports Inc NPI is 1245244912, taxonomy code is 225100000X Impact Sports Inc physically located at 4381 Kukui Grove St, Lihue HI, 96766. NPI Number 1033115704 has the healthcare provider type.

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1245244912 NPI number is provided on an as is basis without warranty of any kind. 1245244912 is maintained by the National Plan & Provider Enumeration System. The contents of Impact Sports Inc are for informational purposes only.