Candace S Ito is a Sports in Seattle, Washington. Candace S Ito practices all healthcare services and medical treatments related to Sports. The NPI Number for Candace S Ito is 1447232970. The last update date is 2007-07-08.
Candace S Ito's current location address is 11304 8th Ave Ne, Seattle, Washington. You can contact this provider via phone number 2063636184 and fax number 2063636543. The mailing address for Candace S Ito is 11304 8th Ave Ne, Seattle, Washington. To know further, please read the information below!
Provider Profile Detail
Provider Name | Candace S Ito |
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Address | 11304 8th Ave Ne, Seattle, Washington |
Phone Number | 2063636184 |
Fax Number | 2063636543 |
Sole Proprietor | X |
Credentials | MPT |
NPI Number Detail
NPI Number | 1447232970 |
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Provider Enumeration Date | 2005-11-18 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 11304 8th Ave Ne |
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City | Seattle |
State | Washington (WA) |
Post Code | 981256111 |
Phone Number | 2063636184 |
Fax Number | 2063636543 |
Provider's Primary Taxonomy Detail
Speciality | Sports |
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Taxonomy | 2251S0007X |
Licence No | PT00005995 |
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, patholog |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
57231T | WA | REGENCE BLUE SHIELD | |
1910872 | WA | FIRST HEALTH | |
148998 | WA | LABOR AND INDUSTRIES |
Post Comment/ Review Below
What is the Candace S Ito's 1447232970?
The Candace S Ito's NPI (National Provider Identifier) Number is 1447232970. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Candace S Ito's facilities are geographically located?
The facilities of Candace S Ito are physically situated at the following location: 11304 8Th Ave Ne, Seattle, WA, 981256111.
What is Candace S Ito's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Candace S Ito's specialized field of practice is Sports, and the corresponding taxonomy code that categorizes this area of specialization is 2251S0007X.
On what date did the Centers for Medicare & Medicaid Services issue the 1447232970 to Candace S Ito?
The Candace S Ito received its 1447232970 assignment from the Centers for Medicare & Medicaid Services on 2005-11-18.
As of what date was the information pertaining to Candace S Ito, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Candace S Ito, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.