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NPI Code Detail

MEDICARE: HIROKO YAGUCHI DPT

MEDICARE: HIROKO YAGUCHI DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT60028849WA

General Provider Information

NPI Number : 1225489230
Entity Type Code : Individual
Provider Name (Legal Business Name) : HIROKO YAGUCHI DPT
Provider Business Mailing Address
First Line : 5520 BRIDGEPORT WAY W
Second Line :
City : UNIVERSITY PLACE
State : WA
Zip : 98467-2041
Country : US
Telephone Number : 253-566-7166
Fax Number :
Provider Business Practice Location Address
First Line : 5520 BRIDGEPORT WAY W
Second Line :
City : UNIVERSITY PLACE
State : WA
Zip : 98467-2041
Country : US
Telephone Number : 253-566-7166
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2016
Last Update Date : 06/30/2016

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Directions to “ HIROKO YAGUCHI DPT” Practice Location

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