Healthcare Provider Details

I. General information

NPI: 1609691187
Provider Name (Legal Business Name): HAYLEY M URABE PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/19/2024
Last Update Date: 11/19/2024
Certification Date: 11/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1029 KAPAHULU AVE STE 401
HONOLULU HI
96816-1332
US

IV. Provider business mailing address

2523 STREAM DR
HONOLULU HI
96817-1355
US

V. Phone/Fax

Practice location:
  • Phone: 808-739-1977
  • Fax: 808-739-1979
Mailing address:
  • Phone: 808-783-0645
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT-6044
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: