NPI 1003004342

Shingo Tanaka, MPT

Practitioner Physical Therapist Rangely, CO

Practice location

Address: 225 Eagle Crest St, Rangely, CO 81648-3105
Phone: (970) 675-4205
Fax: (970) 675-4270

Registered specialties (2)

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 10367 (CO)

Other Physical Therapist providers in Colorado →

Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence PT011869 (OH)

Registry record

NPI: 1003004342
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Oct 2007
Record last updated: 10 Oct 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.