OrganizationActive
Mpt South LLC
NPI 1154997435 · Physical Medicine & Rehabilitation Physician · Honolulu, HI
Provider details
- NPI number
- 1154997435
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Joanna Davis, Biller(808) 823-0103
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
320 Ward Ave Ste 107
Honolulu, HI 96814-4016
Phone: (808) 597-1005
Approximate (ZIP-level) locationGet directions
Mailing address
320 Ward Ave Ste 107
Honolulu, HI 96814-4016
Registry dates
- Enumerated
- 2021-05-27
- Last updated
- 2021-05-27
- Certified
- 2021-05-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.