Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | 597 | HI |
N | 225100000X | Physical Therapist | PT 7896 | CA |
N | 225100000X | Physical Therapist | PT - 742 | HI |
NPI | 1104009554 |
---|---|
Provider Name | Harvelee Healani Leite - Ah Yo |
First Address | Hilo, HI 96720-2438 |
Second Address | Hilo, HI 96720-2438 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/12/2007 |
Last Update Date | 26/08/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U42038 | (02) | HI |