Healthcare Provider Details

I. General information

NPI: 1912412982
Provider Name (Legal Business Name): SARAH PRICE SMITH PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH LESLIE PRICE

II. Dates (important events)

Enumeration Date: 12/12/2017
Last Update Date: 09/04/2024
Certification Date: 09/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1441 KAPIOLANI BLVD STE 1113
HONOLULU HI
96814-4406
US

IV. Provider business mailing address

565 KEOLU DR APT A
KAILUA HI
96734-3956
US

V. Phone/Fax

Practice location:
  • Phone: 808-218-3660
  • Fax:
Mailing address:
  • Phone: 803-629-2265
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT-5997-0
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: