IndividualActive
Jacy Cabael-Tellis
NPI 1780265140 · Athletic Trainer · Honolulu, HI
Provider details
- NPI number
- 1780265140
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2500 Campus Rd
Honolulu, HI 96822-2217
Phone: (808) 956-8111
Approximate (ZIP-level) locationGet directions
Mailing address
2069 California Ave Apt 14h
Wahiawa, HI 96786-2779
Registry dates
- Enumerated
- 2021-04-17
- Last updated
- 2021-04-17
- Certified
- 2021-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.