Healthcare Provider Details
I. General information
NPI: 1629793666
Provider Name (Legal Business Name): JOSHUA MICHAEL SCHIEN DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/11/2022
Last Update Date: 10/11/2022
Certification Date: 10/11/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5722 KALANIANAOLE HWY
HONOLULU HI
96821-2388
US
IV. Provider business mailing address
5722 KALANIANAOLE HWY
HONOLULU HI
96821-2388
US
V. Phone/Fax
- Phone: 808-373-3555
- Fax: 808-373-3666
- Phone: 808-373-3555
- Fax: 808-373-3666
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | 5556-0 |
| License Number State | HI |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: