Provider Demographics
NPI:1114731270
Name:INDIVIDUAL MOVEMENT IMPROVEMENT LLC
Entity type:Organization
Organization Name:INDIVIDUAL MOVEMENT IMPROVEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF PHYSICAL THERAPY
Authorized Official - Prefix:DR
Authorized Official - First Name:KAIMI
Authorized Official - Middle Name:NAZAR
Authorized Official - Last Name:SAKAMAKI
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:808-375-5884
Mailing Address - Street 1:1210 ARTESIAN ST STE 101
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96826-1320
Mailing Address - Country:US
Mailing Address - Phone:808-375-5884
Mailing Address - Fax:
Practice Address - Street 1:1210 ARTESIAN ST STE 101
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96826-1320
Practice Address - Country:US
Practice Address - Phone:808-375-5884
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-06
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty