Provider Demographics
NPI:1174192462
Name:AKANA, ALAN KAMAI (DPT)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:KAMAI
Last Name:AKANA
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2739 CEMBALO BLVD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-3011
Mailing Address - Country:US
Mailing Address - Phone:726-201-1276
Mailing Address - Fax:726-201-1278
Practice Address - Street 1:2739 CEMBALO BLVD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-3011
Practice Address - Country:US
Practice Address - Phone:726-201-1276
Practice Address - Fax:726-201-1278
Is Sole Proprietor?:No
Enumeration Date:2021-06-21
Last Update Date:2021-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1192062225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist