Provider Demographics
NPI:1285767269
Name:MISHLER, ROHANA BLISS (MS,PT)
Entity type:Individual
Prefix:MS
First Name:ROHANA
Middle Name:BLISS
Last Name:MISHLER
Suffix:
Gender:F
Credentials:MS,PT
Other - Prefix:
Other - First Name:ROHANA
Other - Middle Name:BLISS
Other - Last Name:HAYNES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 2228
Mailing Address - Street 2:
Mailing Address - City:VOLCANO
Mailing Address - State:HI
Mailing Address - Zip Code:96785-2228
Mailing Address - Country:US
Mailing Address - Phone:808-990-9171
Mailing Address - Fax:866-630-2138
Practice Address - Street 1:11-3092 HOOLEHUA ROAD
Practice Address - Street 2:
Practice Address - City:VOLCANO
Practice Address - State:HI
Practice Address - Zip Code:96785
Practice Address - Country:US
Practice Address - Phone:808-990-9171
Practice Address - Fax:866-630-2138
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPT2545225100000X
HI2545225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI0000262808OtherHMSA PROVIDER NUMBER