Provider Demographics
NPI:1568747855
Name:KAWABE, ASHTEN YOSHIMASA (DPT)
Entity Type:Individual
Prefix:
First Name:ASHTEN
Middle Name:YOSHIMASA
Last Name:KAWABE
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:843 S ARDMORE AVE APT 201
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90005-4351
Mailing Address - Country:US
Mailing Address - Phone:808-782-3301
Mailing Address - Fax:
Practice Address - Street 1:843 S ARDMORE AVE APT 201
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90005-4351
Practice Address - Country:US
Practice Address - Phone:808-782-3301
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-18
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist