Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shania Custodio-Velasco

Individual provider Physical Therapy Assistant · NPI 1386382422

Shania Custodio-Velasco is a Physical Therapy Assistant in Kailua, Hawaii. Licensed in Hawaii. Registered with an NPI since 2022.

Licensed in
HI
In the registry since
2022

Practice location Address checks out

1090 Keolu Dr Ste 104
Kailua, HI 96734-3871
Phone: (808) 262-2292
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 640 (HI)

Record details

NPI number1386382422
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 26, 2022
Last updated in NPPESMay 26, 2022
Certification dateMay 26, 2022

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