Provider Demographics
NPI:1346444130
Name:KAI, YUMIKO (O T R)
Entity Type:Individual
Prefix:MS
First Name:YUMIKO
Middle Name:
Last Name:KAI
Suffix:
Gender:F
Credentials:O T R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1002 AVENUE A
Mailing Address - Street 2:
Mailing Address - City:SANTA ANNA
Mailing Address - State:TX
Mailing Address - Zip Code:76878-1905
Mailing Address - Country:US
Mailing Address - Phone:325-348-3922
Mailing Address - Fax:325-348-3922
Practice Address - Street 1:2713 S COMMERCIAL AVE
Practice Address - Street 2:
Practice Address - City:COLEMAN
Practice Address - State:TX
Practice Address - Zip Code:76834-7503
Practice Address - Country:US
Practice Address - Phone:325-625-1591
Practice Address - Fax:325-625-1591
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX100776225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist