Provider Demographics
NPI:1275847006
Name:NTUBE, AKEPE G (PTA)
Entity Type:Individual
Prefix:MR
First Name:AKEPE
Middle Name:G
Last Name:NTUBE
Suffix:
Gender:M
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7351 BRITTANY ST APT 204
Mailing Address - Street 2:
Mailing Address - City:MERRIAM
Mailing Address - State:KS
Mailing Address - Zip Code:66203-4683
Mailing Address - Country:US
Mailing Address - Phone:913-314-6301
Mailing Address - Fax:
Practice Address - Street 1:7351 BRITTANY ST APT 204
Practice Address - Street 2:
Practice Address - City:MERRIAM
Practice Address - State:KS
Practice Address - Zip Code:66203-4683
Practice Address - Country:US
Practice Address - Phone:913-314-6301
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-04
Last Update Date:2010-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KST-02783225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant