| NPI | 1891554622 |
|---|---|
| Doing Business As | KEYSTONE SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | KENNETH TAKESHI NAKASONE Physical Therapist 808-375-0968 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic |
| Enumeration Date | 2024-03-14 |
| Last Update Date | 2024-03-14 |