Shingo Tanaka, MPT
Physical Therapist in Rangely, CO. Individual provider (NPI-1).
NPI number1003004342
StatusActive
Last updated in NPPESOct 10, 2013
Details
- NPI
- 1003004342
- Entity type
- Individual (NPI-1)
- Name
- Mr. Shingo Tanaka
- Credential
- MPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 11, 2007
- Last updated
- Oct 10, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 10367 | CO | Yes |
| 225100000X | Physical Therapist | PT011869 | OH |
Practice location
225 Eagle Crest StRangely, CO 81648-3105
Phone 970-675-4205 · Fax 970-675-4270
Mailing address
225 Eagle Crest StRangely, CO 81648-3105
Phone 970-675-4205 · Fax 970-675-4270
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Physical Therapist providers in Rangely, CO
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.