Provider Demographics
NPI:1407546427
Name:WRIGHT, ALICIA (DPT)
Entity type:Individual
Prefix:
First Name:ALICIA
Middle Name:
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:ALICIA
Other - Middle Name:
Other - Last Name:TAYLOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:400 KEAWE ST STE 102
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-5997
Mailing Address - Country:US
Mailing Address - Phone:808-208-8822
Mailing Address - Fax:
Practice Address - Street 1:400 KEAWE ST STE 102
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-5997
Practice Address - Country:US
Practice Address - Phone:808-208-8822
Practice Address - Fax:808-373-3666
Is Sole Proprietor?:No
Enumeration Date:2023-05-12
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPT-5664-0225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist