Provider Demographics
NPI:1285977850
Name:GESIK PHYSICAL THERAPY LLC
Entity type:Organization
Organization Name:GESIK PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARI
Authorized Official - Middle Name:KEHAULANI PUNZAL
Authorized Official - Last Name:GESIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-734-0010
Mailing Address - Street 1:677 ALA MOANA BLVD STE 725
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-5417
Mailing Address - Country:US
Mailing Address - Phone:808-734-0010
Mailing Address - Fax:808-734-0013
Practice Address - Street 1:677 ALA MOANA BLVD STE 725
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-5417
Practice Address - Country:US
Practice Address - Phone:808-734-0010
Practice Address - Fax:808-734-0013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-02
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI3507261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy