Provider Demographics
NPI:1356502975
Name:YOKOTA, SHUNSUKE (CMT)
Entity Type:Individual
Prefix:
First Name:SHUNSUKE
Middle Name:
Last Name:YOKOTA
Suffix:
Gender:M
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10160 W 50TH AVE UNIT 3
Mailing Address - Street 2:
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-2339
Mailing Address - Country:US
Mailing Address - Phone:303-469-0087
Mailing Address - Fax:
Practice Address - Street 1:10160 W 50TH AVE UNIT 3
Practice Address - Street 2:
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-2339
Practice Address - Country:US
Practice Address - Phone:303-469-0087
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-17
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist