Provider Demographics
NPI:1255651881
Name:NUQUI, SHARON GUIAO (PT)
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:GUIAO
Last Name:NUQUI
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 1:702 S 38TH AVE
Mailing Address - Street 2:APT 35
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98902-3975
Mailing Address - Country:US
Mailing Address - Phone:509-406-0058
Mailing Address - Fax:
Practice Address - Street 1:702 N 16TH AVE
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98902-1803
Practice Address - Country:US
Practice Address - Phone:509-248-5320
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-05
Last Update Date:2010-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT60107880225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist