Alexa McMonagle, ATC

Individual provider Active NPI Athletic Trainer · Waimea, HI

NPI 1629486261 · NPPES record last updated Oct 20, 2017

Key facts

NPI
1629486261
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
License
191 (HI)
Practice address
9707 Tsuchiya Road
Waimea, HI 96796
Phone
(808) 338-6800
NPI assigned
Jul 28, 2014
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
191HIMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 191 HI Yes

Addresses

Primary practice location

9707 Tsuchiya Road
Waimea, HI 96796

Mailing address

9707 Tsuchiya Rd
Waimea, HI 96796

Other providers in Waimea, HI

All providers in Waimea, HI · Athletic Trainer in Hawaii

Sources for this page

Verify at the official NPI Registry.