Provider Demographics
NPI:1871624825
Name:YANAGIHARA, DAVID ARNOLD (PT)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:ARNOLD
Last Name:YANAGIHARA
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 1:398 ALIIOLANI ST
Mailing Address - Street 2:
Mailing Address - City:MAKAWAO
Mailing Address - State:HI
Mailing Address - Zip Code:96768-8314
Mailing Address - Country:US
Mailing Address - Phone:808-572-4721
Mailing Address - Fax:
Practice Address - Street 1:398 ALIIOLANI ST
Practice Address - Street 2:
Practice Address - City:MAKAWAO
Practice Address - State:HI
Practice Address - Zip Code:96768-8314
Practice Address - Country:US
Practice Address - Phone:808-572-4721
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2013-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI555225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIA01952-9OtherHMSA PROVIDER #
HIS52611Medicare UPIN