Provider Demographics
NPI:1083963722
Name:YOSHIKAWA, TERI LYNN YAP (PT)
Entity Type:Individual
Prefix:MS
First Name:TERI LYNN
Middle Name:YAP
Last Name:YOSHIKAWA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9053 RIDGEVIEW CIR W
Mailing Address - Street 2:
Mailing Address - City:UNIVERSITY PLACE
Mailing Address - State:WA
Mailing Address - Zip Code:98466-1334
Mailing Address - Country:US
Mailing Address - Phone:253-905-6174
Mailing Address - Fax:
Practice Address - Street 1:9053 RIDGEVIEW CIR W
Practice Address - Street 2:
Practice Address - City:UNIVERSITY PLACE
Practice Address - State:WA
Practice Address - Zip Code:98466-1334
Practice Address - Country:US
Practice Address - Phone:253-905-6174
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-07
Last Update Date:2012-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA00003513225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist