Provider Demographics
NPI:1477917573
Name:KANO, IKUKO (ATC)
Entity Type:Individual
Prefix:
First Name:IKUKO
Middle Name:
Last Name:KANO
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:THE AMERICAN SCHOOL IN JAPAN 1-1-1
Mailing Address - Street 2:NOMIZU
Mailing Address - City:CHOFU
Mailing Address - State:TOKYO
Mailing Address - Zip Code:1820031
Mailing Address - Country:JP
Mailing Address - Phone:8142-234-5300
Mailing Address - Fax:
Practice Address - Street 1:THE AMERICAN SCHOOL IN JAPAN 1-1-1
Practice Address - Street 2:NOMIZU
Practice Address - City:CHOFU
Practice Address - State:TOKYO
Practice Address - Zip Code:1820031
Practice Address - Country:JP
Practice Address - Phone:8142-234-5300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-05
Last Update Date:2016-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer