Provider Demographics
NPI:1114222544
Name:HAWRYLIAK, DEBBIE K (LMT)
Entity type:Individual
Prefix:MS
First Name:DEBBIE
Middle Name:K
Last Name:HAWRYLIAK
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 34
Mailing Address - Street 2:
Mailing Address - City:KEAAU
Mailing Address - State:HI
Mailing Address - Zip Code:96749-0034
Mailing Address - Country:US
Mailing Address - Phone:808-769-3530
Mailing Address - Fax:
Practice Address - Street 1:15-1034 KILIKA RD
Practice Address - Street 2:
Practice Address - City:KEAAU
Practice Address - State:HI
Practice Address - Zip Code:96749-7109
Practice Address - Country:US
Practice Address - Phone:808-769-3530
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-15
Last Update Date:2011-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMAT-11499172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist