| Iasis Spinal Treatment Center, Llc | |
| 4747 Kilauea Ave, #201, Honolulu, HI 96816-5308 | |
| (808) 542-4029 | |
| (808) 739-2828 | 
| Full Name | Iasis Spinal Treatment Center, Llc | 
|---|---|
| Type | Facility | 
| Speciality | Physical Therapist | 
| Location | 4747 Kilauea Ave, Honolulu, Hawaii | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1780737759 | NPI | - | NPPES | 
| 0000257527 | Other | HI | HMSA INSURANCE PROVIDER # | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 225100000X | Physical Therapist | 1497 (Hawaii) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Iasis Spinal Treatment Center, Llc 45-502 Apiki St, Kaneohe, HI 96744-1918 Ph: (808) 542-4029 | Iasis Spinal Treatment Center, Llc 4747 Kilauea Ave, #201, Honolulu, HI 96816-5308 Ph: (808) 542-4029 | 
| Michael M Ebesu, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3288 Moanalua Rd, Honolulu, HI 96819 Phone: 808-778-6728 | |
| Taryn Jennings, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2828 Paa St, Honolulu, HI 96819 Phone: 833-833-3333 | |
| Abe Shimoda, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7192 Kalanianaole Hwy, Honolulu, HI 96825 Phone: 808-396-7303 Fax: 808-395-7160 | |
| Mr. Graham C Hadley, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2812b Kalihi St, Honolulu, HI 96819 Phone: 808-848-5556 Fax: 808-848-5557 | |
| Randall Fukuji, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1834 Nuuanu Ave Ste 101, Honolulu, HI 96817 Phone: 808-521-4922 Fax: 808-521-4921 | |
| Yunsim C. Suehisa, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7114 Niumalu Loop, Honolulu, HI 96825 Phone: 808-277-4073 Fax: 808-396-5581 | |
| Jonathan Kaminaka,  Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1301 Punchbowl St, Honolulu, HI 96813 Phone: 808-691-1000 |