| Physical Therapy And Wellness Center Of Maui Llc | |
| 430 Kele St Ste 401, Kahului, HI 96732-3406 | |
| (808) 871-0900 | |
| (808) 871-9119 | 
| Full Name | Physical Therapy And Wellness Center Of Maui Llc | 
|---|---|
| Type | Facility | 
| Speciality | Physical Therapist | 
| Location | 430 Kele St Ste 401, Kahului, Hawaii | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1578623211 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary | 
| Provider Name | Dawn D Jernaill | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1376636613 PECOS PAC ID: 3072515147 Enrollment ID: I20070202000469 | 
| Provider Name | Jewan G Jernaill | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1467545707 PECOS PAC ID: 2961404934 Enrollment ID: I20070203000025 | 
| Provider Name | Kij Sidon | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1831827591 PECOS PAC ID: 0840666046 Enrollment ID: I20221012003746 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Physical Therapy And Wellness Center Of Maui Llc 430 Kele St Ste 401, Kahului, HI 96732-3406 Ph: (808) 871-0900 | Physical Therapy And Wellness Center Of Maui Llc 430 Kele St Ste 401, Kahului, HI 96732-3406 Ph: (808) 871-0900 | 
| Ashley M Sacks, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 135 S Wakea Ave Ste 112, Kahului, HI 96732 Phone: 808-280-7711 Fax: 808-442-0690 | |
| Jazmine Alexis Moreno, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 335 Hoohana St Ste F, Kahului, HI 96732 Phone: 808-446-2032 | |
| Sarah Dastice, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 335 Hoohana St Ste F, Kahului, HI 96732 Phone: 808-446-2032 Fax: 335-653-1448 | |
| Madeleine Lauer, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 285 W Kaahumanu Ave Ste 205, Kahului, HI 96732 Phone: 808-877-4663 | |
| Megan Long, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 111 Hana Hwy Ste 107, Kahului, HI 96732 Phone: 808-877-8717 Fax: 800-877-8718 | |
| Mrs. Angela M. Peters, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 135 S Wakea Ave Ste 112, Kahului, HI 96732 Phone: 808-280-7711 Fax: 808-442-0690 | |
| Amc Corporation Physical Therapist Medicare: Medicare Enrolled Practice Location: 285 W Kaahumanu Ave Ste 205, Kahului, HI 96732 Phone: 808-877-4663 Fax: 808-877-4662 |