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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. SHINGO TANAKA, MPT

Active

MR. SHINGO TANAKA, MPT is a Physical Therapy Assistant healthcare provider located in RANGELY, Colorado. NPI 1003004342 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · RANGELY, CO

Registration Details

NPI Number
1003004342
Provider Type
Individual
Gender
Male
NPI Issued
Oct 11, 2007 (18.802751239771 yrs)
Last Updated
Oct 10, 2013
Licenses
PT011869 (OH)
10367 (CO)

Practice Information

Address
225 EAGLE CREST ST
RANGELY, CO, 816483105
Browse CO providers · Browse ZIP 81648
Phone
9706754205
Fax
9706754270
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in RANGELY, CO

Name Credential NPI
NICOLE MARIE DANIELSON DPT, PT 1639419039
DR. GREGORY EARL FUGAL DPT 1962179002
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.