Provider Demographics
NPI:1063894665
Name:THEIN, THANT Z (DPT)
Entity type:Individual
Prefix:
First Name:THANT
Middle Name:Z
Last Name:THEIN
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:99-128 AIEA HEIGHTS DRIVE
Mailing Address - Street 2:SUITE 207
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-3968
Mailing Address - Country:US
Mailing Address - Phone:808-487-0487
Mailing Address - Fax:808-486-8674
Practice Address - Street 1:99-128 AIEA HEIGHTS DRIVE
Practice Address - Street 2:SUITE 207
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-3968
Practice Address - Country:US
Practice Address - Phone:808-487-0487
Practice Address - Fax:808-486-8674
Is Sole Proprietor?:No
Enumeration Date:2015-06-19
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA42383225100000X
HI4301225100000X
HIPT4301225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist