Healthcare Provider Details

I. General information

NPI: 1063446235
Provider Name (Legal Business Name): JOY T YANAI DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JOY T DENZ DPT

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 09/20/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45-035 KANEOHE BAY DR
KANEOHE HI
96744-2417
US

IV. Provider business mailing address

407 ULUNIU ST STE 301
KAILUA HI
96734-2544
US

V. Phone/Fax

Practice location:
  • Phone: 808-235-5398
  • Fax: 808-235-6359
Mailing address:
  • Phone: 808-261-4321
  • Fax: 808-261-4320

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2055
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: