Kailua Wellness Center, LLC
Organization Active NPI Chiropractor · Kailua, HI
NPI 1245565613 · NPPES record last updated Sep 4, 2025
Key facts
- NPI
- 1245565613
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 404 (HI)
- Legal business name
- KAILUA WELLNESS CENTER, LLC
- Practice address
- 228 Kuulei Rd
Kailua, HI 96734-2720 - Phone
- (808) 261-8181
- Fax
- (808) 261-7770
- NPI assigned
- Oct 2, 2009
- Organization subpart
- No
Authorized official
- Name
- Dr. Tyler D Ryan, DC
- Title
- Owner
- Phone
- (808) 261-8181
Practitioners 20
-
Jun Bradley Lestino Cadelinia, PT, DPT
-
Kody Eckert, DPT
-
Jared Campbell, D.C.
-
Tyler D Ryan, D.C.
-
Spirit Acladach, LMT
-
Caroline Bunten, PT, DPT
-
Zara Duarte, LMT
-
Ashley Dudoit, LMT
-
Kim Endreson, LMT
-
Mary Hedley Campos, L.AC
-
Shaina Makanamaikalani Manoa Kaui, LMT, CMMP
-
Symone Simpson, LMT
-
Sanae Vierra, LMT
-
Elise Wetherholt, LMT
-
Kelsey R Ennila, DC, DNP, FNP-BC
-
Douglas Kroll, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in HI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091013000257 | HI | Part B Supplier - Clinic/Group Practice | 5496891079 |
Receives reassigned benefits from 6 practitioners Practice locations: Kailua, HI |
National Provider Directory
Locations
228 Kuulei Rd
Kailua, HI 96734
Phone (808) 261-8181
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 404 | HI | Yes |
| Acupuncturist |
171100000X | |||
| Physical Therapist |
225100000X | |||
| Massage Therapist |
225700000X |
Addresses
Primary practice location
228 Kuulei Rd
Kailua, HI 96734-2720
Mailing address
228 Kuulei Rd
Kailua, HI 96734-2720
Phone (808) 261-8181
Other providers in Kailua, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.