Provider Demographics
NPI:1609581669
Name:HOGARTY, ABBIE (MS, ATC, LAT)
Entity type:Individual
Prefix:
First Name:ABBIE
Middle Name:
Last Name:HOGARTY
Suffix:
Gender:F
Credentials:MS, ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3017 HOLLINGER ST UNIT 1
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96815-4211
Mailing Address - Country:US
Mailing Address - Phone:253-224-0172
Mailing Address - Fax:
Practice Address - Street 1:800 S BERETANIA ST STE 100
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-5702
Practice Address - Country:US
Practice Address - Phone:808-533-4545
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-13
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAT-4392255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer