Healthcare Provider Details

I. General information

NPI: 1265537963
Provider Name (Legal Business Name): KARL YUKIO SATO P.T.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2006
Last Update Date: 04/10/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

405 N KUAKINI ST 1101
HONOLULU HI
96817-6300
US

IV. Provider business mailing address

405 N KUAKINI ST 1101
HONOLULU HI
96817-6300
US

V. Phone/Fax

Practice location:
  • Phone: 808-536-3072
  • Fax: 808-536-5082
Mailing address:
  • Phone: 808-545-1040
  • Fax: 808-536-5082

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number621
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: