MEDICARE: CARLY ARAKAWA

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
1	225200000X	Physical Therapy Assistant	174	HI

General Provider Information

NPI Number	:	1174868939
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLY ARAKAWA

Provider Business Mailing Address
First Line	:	PO BOX 11813
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96828-0813
Country	:	US
Telephone Number	:	808-265-6958
Fax Number	:

Provider Business Practice Location Address
First Line	:	1677 PENSACOLA ST
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96822-2676
Country	:	US
Telephone Number	:	808-537-3371
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/05/2012
Last Update Date	:	04/04/2026

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Directions to “ CARLY ARAKAWA ” Practice Location

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