Healthcare Provider Details

I. General information

NPI: 1821038969
Provider Name (Legal Business Name): SHAUNA LEILANI FRULAND DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHAUNA LEILANI TURNER DPT

II. Dates (important events)

Enumeration Date: 06/07/2006
Last Update Date: 05/26/2021
Certification Date: 05/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95-1105 AINAMAKUA DR STE 203
MILILANI HI
96789-6313
US

IV. Provider business mailing address

95-1105 AINAMAKUA DR STE 203
MILILANI HI
96789-6313
US

V. Phone/Fax

Practice location:
  • Phone: 808-381-8947
  • Fax: 800-586-4356
Mailing address:
  • Phone: 808-381-8947
  • Fax: 800-586-4356

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number27286
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT31957
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT 2017
License Number StateID
# 4
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number3204
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: