Provider Demographics
NPI:1235345810
Name:YOKOBE, MUNETSUGU (LMP)
Entity Type:Individual
Prefix:MR
First Name:MUNETSUGU
Middle Name:
Last Name:YOKOBE
Suffix:
Gender:M
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10301 NE 10TH ST
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-4213
Mailing Address - Country:US
Mailing Address - Phone:425-990-0043
Mailing Address - Fax:425-990-8043
Practice Address - Street 1:10301 NE 10TH ST
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-4213
Practice Address - Country:US
Practice Address - Phone:425-990-0043
Practice Address - Fax:425-990-8043
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00013284225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist