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General NPI Number Information
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NPI Number | 1437645181
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Entity Type | Organization
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Legal Business Name | KEIKI THERAPY LLC
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Dates
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Enumeration Date | 07/05/2018
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Last Update Date | 02/21/2025
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Provider Practice Location Address
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Address Line | 64-957 MAMALAHOA HWY
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City | KAMUELA
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State | HI
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Zip | 96743-8415
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Country | US
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Telephone | 808-209-7934
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Fax | 808-883-6262
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Provider Business Mailing Address
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Address Line | 68-1849 PAU NANI ST
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City | WAIKOLOA
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State | HI
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Zip | 96738-5441
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Country | US
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Telephone | 808-747-4982
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | NICOLE KORANDA
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Credential | OTR/L
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Telephone | 808-209-7934
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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