Healthcare Provider Details
I. General information
NPI: 1053235259
Provider Name (Legal Business Name): KAUHALE SMOOTH TRANSITIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2948 MANOA RD
HONOLULU HI
96822-1757
US
IV. Provider business mailing address
PO BOX 61625
HONOLULU HI
96839-1625
US
V. Phone/Fax
- Phone: 808-783-3696
- Fax:
- Phone: 808-783-3696
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LYNNE
NOHARA-KIDO
Title or Position: OWNER / PHYSICAL THERAPIST
Credential: DPT, PT
Phone: 808-783-3696