Healthcare Provider Details

I. General information

NPI: 1457486516
Provider Name (Legal Business Name): DOUGLAS STUART SPIER P.T.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/22/2007
Last Update Date: 12/08/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

932 WARD AVE SUITE 600
HONOLULU HI
96814-2131
US

IV. Provider business mailing address

46-130 NAHIKU ST
KANEOHE HI
96744-3626
US

V. Phone/Fax

Practice location:
  • Phone: 808-535-5555
  • Fax: 808-535-5556
Mailing address:
  • Phone: 973-634-5129
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number3064
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: