Thomas Masashi Ikeda in Waco - Occupational Therapist
Thomas Masashi Ikeda - NPI 1891751889
Thomas Masashi Ikeda is a Occupational Therapist in Waco, Texas. Thomas Masashi Ikeda practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Thomas Masashi Ikeda is 1891751889. The last update date is 2007-07-08.
Thomas Masashi Ikeda's current location address is 1200 Richland Dr, Waco, Texas. You can contact this provider via phone number 2547720118 and fax number 2547723883. The mailing address for Thomas Masashi Ikeda is 1200 Richland Dr, Waco, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas Masashi Ikeda |
|---|---|
| Address | 1200 Richland Dr, Waco, Texas |
| Phone Number | 2547720118 |
| Fax Number | 2547723883 |
| Sole Proprietor | N |
| Credentials | OTR L |
NPI Number Detail
| NPI Number | 1891751889 |
|---|---|
| Provider Enumeration Date | 2006-04-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1200 Richland Dr |
|---|---|
| City | Waco |
| State | Texas (TX) |
| Post Code | 767108008 |
| Phone Number | 2547720118 |
| Fax Number | 2547723883 |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | 111726 |
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Definition: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat |
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What is the unique identifier code issued to Thomas Masashi Ikeda by the Centers for Medicare & Medicaid Services?
The Thomas Masashi Ikeda has been assigned the NPI (National Provider Identifier) 1891751889. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Thomas Masashi Ikeda's facilities are geographically located?
The facilities of Thomas Masashi Ikeda are physically situated at the following location: 1200 Richland Dr, Waco, TX, 767108008.
What is Thomas Masashi Ikeda's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Thomas Masashi Ikeda's specialized field of practice is Occupational Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 225X00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1891751889 to Thomas Masashi Ikeda?
The Centers for Medicare & Medicaid Services originally issued the 1891751889 to Thomas Masashi Ikeda on 2006-04-26.
When was the information regarding Thomas Masashi Ikeda most recently updated?
The details pertaining to the Thomas Masashi Ikeda, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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