MEDICARE: MS. SHAINA MARIKO AKIDAU L.M.P.

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
1	172M00000X	Mechanotherapist	MA00025243	WA

General Provider Information

NPI Number	:	1932373388
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SHAINA MARIKO AKIDAU L.M.P.

Provider Business Mailing Address
First Line	:	619 N 35TH ST
Second Line	:	#314
City	:	SEATTLE
State	:	WA
Zip	:	98103-8642
Country	:	US
Telephone Number	:	206-347-0777
Fax Number	:	888-254-3281

Provider Business Practice Location Address
First Line	:	619 N 35TH ST
Second Line	:	#314
City	:	SEATTLE
State	:	WA
Zip	:	98103-8642
Country	:	US
Telephone Number	:	206-347-0777
Fax Number	:	888-254-3281

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/16/2008
Last Update Date	:	02/24/2017

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