South Shore Physical Therapy & Sportsmedicine, INC

NPI #1396601647 in Kahului, Hawaii

Provider Information

NPI Number: 1396601647
Entity Type: Organization
Organization Name: South Shore Physical Therapy & Sportsmedicine, INC
Primary Specialty: Physical Therapist
Enumeration Date: Dec 30, 2025
Last Updated: Dec 30, 2025

Practice Location

Address: 118 MAA ST
City: Kahului
State: Hawaii
ZIP Code: 96732-3602
Phone: (808) 244-0077

Authorized Official

Name: TIFFANY GRACE PRANGNELL
Title: PRESIDENT
Phone: (808) 298-4933

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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