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Betty Fackler Dba South Kona Physical Therapy
Specialist in Captain Cook, Hawaii
NPI 1568918431

Betty Fackler Dba South Kona Physical Therapy is a Specialist based in Captain Cook, HI. Betty Fackler Dba South Kona Physical Therapy practices in Captain Cook, HI. The NPI Number for Betty Fackler Dba South Kona Physical Therapy is 1568918431 and holds a License No. PT-1737 (Hawaii).

The current practice location address for Betty Fackler Dba South Kona Physical Therapy is 82-6066 Mamalahoa Hwy, Captain Cook, HI and can be reached out via phone at 808-323-8123 and via fax at 808-323-8125.

Location: 82-6066 Mamalahoa Hwy, Captain Cook, HI, 96704-8204
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568918431
Provider Name
Betty Fackler Dba South Kona Physical Therapy
Credential
Provider Entity Type
Organization
Address
82-6066 Mamalahoa Hwy, Captain Cook, HI, 96704-8204
Phone Number
808-323-8123
Fax Number
808-323-8125
Provider Enumeration Date
08/30/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
57447703 05 HI
institution
Provider Business Practice Location Address Details
Address
82-6066 Mamalahoa Hwy
City
Captain Cook
State
Hawaii
Zip
96704-8204
Phone Number
808-323-8123
Fax Number
808-323-8125
person
Provider Business Mailing Address Details
Address
82-6066 Mamalahoa Hwy
City
Captain Cook
State
Hawaii
Zip
96704-8204
Phone Number
808-323-8123
Fax Number
808-323-8125
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
PT-1737 (Hawaii)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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