Healthcare Provider Details

I. General information

NPI: 1083668891
Provider Name (Legal Business Name): DARRIN HUTH INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

81 MAKAWAO AVE SUITE 102
PUKALANI HI
96768
US

IV. Provider business mailing address

81 MAKAWAO AVE SUITE 102
MAKAWAO HI
96768-8895
US

V. Phone/Fax

Practice location:
  • Phone: 808-572-2281
  • Fax: 808-573-5869
Mailing address:
  • Phone: 808-572-2281
  • Fax: 808-573-5869

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2497
License Number StateHI

VIII. Authorized Official

Name: DARRIN HUTH
Title or Position: PRESIDENT
Credential: PT
Phone: 808-572-2281