IndividualActive
Ethan Lum, A.T.C
NPI 1801041801 · Athletic Trainer · Honolulu, HI
Provider details
- NPI number
- 1801041801
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- A.T.C
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
3142 Waialae Ave
Honolulu, HI 96816-1510
Phone: (808) 739-4824
Approximate (ZIP-level) locationGet directions
Mailing address
98-149 Puaalii St
Aiea, HI 96701-2205
Registry dates
- Enumerated
- 2008-11-18
- Last updated
- 2008-11-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.