IndividualActive
Derek Ketelsen, DPT
NPI 1215598586 · Physical Therapy Clinic/Center · Honolulu, HI
Provider details
- NPI number
- 1215598586
- Entity type
- Individual
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 4648 (HI)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
800 S King St
Honolulu, HI 96813-3010
Phone: (563) 212-0377
Approximate (ZIP-level) locationGet directions
Mailing address
800 S King St
Honolulu, HI 96813-3010
Registry dates
- Enumerated
- 2019-06-26
- Last updated
- 2020-05-08
- Certified
- 2020-05-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.