Provider Demographics
NPI:1265537963
Name:SATO, KARL YUKIO (PT)
Entity type:Individual
Prefix:
First Name:KARL
Middle Name:YUKIO
Last Name:SATO
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 N KUAKINI ST
Mailing Address - Street 2:1101
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-6300
Mailing Address - Country:US
Mailing Address - Phone:808-545-1040
Mailing Address - Fax:808-536-5082
Practice Address - Street 1:405 N KUAKINI ST
Practice Address - Street 2:1101
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-6300
Practice Address - Country:US
Practice Address - Phone:808-536-3072
Practice Address - Fax:808-536-5082
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2009-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI6212251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI000089003OtherHMSA
HI54608Medicare PIN