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NPI Code Detail

MEDICARE: MISS LAURIE SACHI NODA A.T.,C., P.T.A.

MEDICARE: MISS LAURIE SACHI NODA A.T.,C., P.T.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12255A2300XAthletic Trainer

General Provider Information

NPI Number : 1114943537
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS LAURIE SACHI NODA A.T.,C., P.T.A.
Provider Business Mailing Address
First Line : 48-471 KAMEHAMEHA HWY APT A1
Second Line :
City : KANEOHE
State : HI
Zip : 96744-5141
Country : US
Telephone Number : 808-721-9262
Fax Number :
Provider Business Practice Location Address
First Line : 680 IWILEI RD STE 660
Second Line :
City : HONOLULU
State : HI
Zip : 96817-5392
Country : US
Telephone Number : 808-547-4663
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2006
Last Update Date : 07/08/2007

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Directions to “ MISS LAURIE SACHI NODA A.T.,C., P.T.A.” Practice Location

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