Provider Demographics
NPI:1245338318
Name:LING-HAWKINS, RAYNA M (PT)
Entity type:Individual
Prefix:
First Name:RAYNA
Middle Name:M
Last Name:LING-HAWKINS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:850 WEST HIND DRIVE
Mailing Address - Street 2:#201
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96821
Mailing Address - Country:US
Mailing Address - Phone:808-377-5605
Mailing Address - Fax:808-377-5604
Practice Address - Street 1:850 WEST HIND DRIVE
Practice Address - Street 2:#201
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96821
Practice Address - Country:US
Practice Address - Phone:808-377-5605
Practice Address - Fax:808-377-5604
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2013-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPT 1922225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI00B0234415OtherHMSA (BC/BS)
HI00B0234415OtherTRIWEST
HI4765649OtherUNIVERSITY HEALTH ALLIANC
HI00B0234415OtherTRIWEST