Provider Demographics
NPI:1548706344
Name:YONG, TASHA-LEIGH KAPUALOKELANI (DPT)
Entity type:Individual
Prefix:
First Name:TASHA-LEIGH
Middle Name:KAPUALOKELANI
Last Name:YONG
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41-1425 HAUNAUKOI ST
Mailing Address - Street 2:
Mailing Address - City:WAIMANALO
Mailing Address - State:HI
Mailing Address - Zip Code:96795-1204
Mailing Address - Country:US
Mailing Address - Phone:808-234-5353
Mailing Address - Fax:808-234-5858
Practice Address - Street 1:45-035 KANEOHE BAY DR
Practice Address - Street 2:SUITE A
Practice Address - City:KANEOHE
Practice Address - State:HI
Practice Address - Zip Code:96744-2417
Practice Address - Country:US
Practice Address - Phone:808-234-5353
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-17
Last Update Date:2017-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPT-4319225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist