Provider Demographics
NPI:1124475660
Name:KAPU, WENDY ANN K (LMT)
Entity type:Individual
Prefix:
First Name:WENDY ANN
Middle Name:K
Last Name:KAPU
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 1:45-3290 OHIA ST
Mailing Address - Street 2:SUITE #3
Mailing Address - City:HONOKAA
Mailing Address - State:HI
Mailing Address - Zip Code:96727-6935
Mailing Address - Country:US
Mailing Address - Phone:808-775-1111
Mailing Address - Fax:808-775-1133
Practice Address - Street 1:45-3290 OHIA ST
Practice Address - Street 2:SUITE #3
Practice Address - City:HONOKAA
Practice Address - State:HI
Practice Address - Zip Code:96727-6935
Practice Address - Country:US
Practice Address - Phone:808-775-1111
Practice Address - Fax:808-775-1133
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-13
Last Update Date:2016-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMAT 9858173C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173C00000XOther Service ProvidersReflexologist