NPI Code Details Logo

NPI 1063920676

NPI 1063920676 : JEFFREY ALBRITTON : HONOLULU, HI

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1063920676
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    JEFFREY ALBRITTON
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    01/17/2018
-----------------------------------------------------
    Last Update Date     |    11/05/2024
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1814 LILIHA ST 
-----------------------------------------------------
    City                 |    HONOLULU
-----------------------------------------------------
    State                |    HI
-----------------------------------------------------
    Zip                  |    96817-2324
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    619-507-7320
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    67-220 NIUMALOO PL 
-----------------------------------------------------
    City                 |    WAIALUA
-----------------------------------------------------
    State                |    HI
-----------------------------------------------------
    Zip                  |    96791-9507
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    619-507-7320
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    225200000X
-----------------------------------------------------
    Taxonomy Name        |    Physical Therapy Assistant
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.