Healthcare Provider Details

I. General information

NPI: 1467103630
Provider Name (Legal Business Name): BRENT HISASHI HOON YEE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/10/2022
Last Update Date: 01/10/2022
Certification Date: 12/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1357 KAPIOLANI BLVD STE 800
HONOLULU HI
96814-4536
US

IV. Provider business mailing address

45-364 HALENANI PL
KANEOHE HI
96744-5208
US

V. Phone/Fax

Practice location:
  • Phone: 808-523-9043
  • Fax: 808-526-0268
Mailing address:
  • Phone: 808-499-7990
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number5323
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: