Provider Demographics
NPI:1487692091
Name:TURNER, MARISSA JILL (DPT)
Entity type:Individual
Prefix:MRS
First Name:MARISSA
Middle Name:JILL
Last Name:TURNER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:MARISSA
Other - Middle Name:JILL
Other - Last Name:MAASKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:1401 S BERETANIA ST
Mailing Address - Street 2:SUITE 550
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-1870
Mailing Address - Country:US
Mailing Address - Phone:808-591-2244
Mailing Address - Fax:808-591-2245
Practice Address - Street 1:1401 S BERETANIA ST
Practice Address - Street 2:SUITE 550
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-1870
Practice Address - Country:US
Practice Address - Phone:808-591-2244
Practice Address - Fax:808-591-2245
Is Sole Proprietor?:No
Enumeration Date:2006-06-04
Last Update Date:2016-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPT19452251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI990353213OtherHMAA