Kristopher Ryan Watanabe in Clovis - Physical Therapist

Kristopher Ryan Watanabe - NPI 1659412062

Kristopher Ryan Watanabe is a Physical Therapist in Clovis, California. Kristopher Ryan Watanabe practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Kristopher Ryan Watanabe is 1659412062. The last update date is 2014-11-18.

Kristopher Ryan Watanabe's current location address is 615 4th St, Clovis, California. You can contact this provider via phone number 5593225345 and fax number 5593225041. The mailing address for Kristopher Ryan Watanabe is 615 4th St, Clovis, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Kristopher Ryan Watanabe
Address 615 4th St, Clovis, California
Phone Number 5593225345
Fax Number 5593225041
Sole Proprietor N
Credentials P.T.

NPI Number Detail

NPI Number 1659412062
Provider Enumeration Date 2007-02-09
Last Updated Date 2014-11-18

Provider Mailing Address Detail

Address 615 4th St
City Clovis
State California (CA)
Post Code 936121124
Phone Number 5593225345
Fax Number 5593225041

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No PT29007
Definition:
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
PT29007 CA LICENSE NUMBER

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FAQs about Kristopher Ryan Watanabe

What is the unique 10-digit identifier code issued to Kristopher Ryan Watanabe by the Centers for Medicare & Medicaid Services?

The Kristopher Ryan Watanabe has been assigned the NPI (National Provider Identifier) 1659412062 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Kristopher Ryan Watanabe's facilities are situated?

The facilities of Kristopher Ryan Watanabe are physically located at the following address: 615 4Th St, Clovis, CA, 936121124.

What is Kristopher Ryan Watanabe's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Kristopher Ryan Watanabe is Physical Therapist, and the taxonomy classification code that categorizes this area of expertise is 225100000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1659412062 to Kristopher Ryan Watanabe?

The Kristopher Ryan Watanabe received its 1659412062 assignment from the Centers for Medicare & Medicaid Services on 2007-02-09.

As of what date was the information regarding Kristopher Ryan Watanabe, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Kristopher Ryan Watanabe, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-11-18.

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