Provider Demographics
NPI:1104101252
Name:HOOPAI, WALTER K (MAT)
Entity type:Individual
Prefix:
First Name:WALTER
Middle Name:K
Last Name:HOOPAI
Suffix:
Gender:M
Credentials:MAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95 MAHALANI ST
Mailing Address - Street 2:SUITE 21
Mailing Address - City:WAILUKU
Mailing Address - State:HI
Mailing Address - Zip Code:96793-2521
Mailing Address - Country:US
Mailing Address - Phone:808-442-6856
Mailing Address - Fax:808-249-0107
Practice Address - Street 1:95 MAHALANI ST
Practice Address - Street 2:SUITE 21
Practice Address - City:WAILUKU
Practice Address - State:HI
Practice Address - Zip Code:96793-2521
Practice Address - Country:US
Practice Address - Phone:808-442-6856
Practice Address - Fax:808-249-0107
Is Sole Proprietor?:No
Enumeration Date:2011-10-19
Last Update Date:2011-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMAT-12203173C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173C00000XOther Service ProvidersReflexologist