Individual provider · Type 1 NPI

Larry Wheeler-Rutkowski

Student in an Organized Health Care Education/Training Program · Honolulu, HI

NPI number 1629765672 Active

Practice location

2414 Sonoma St
Honolulu, HI 96822-6928

Call (808) 797-7747 Map

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1629765672

Larry Wheeler-Rutkowski's National Provider Identifier is 1629765672, issued on Apr 20, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Honolulu, HI. The record was last updated on Apr 20, 2023.