Provider Demographics
NPI:1619942356
Name:ONUKI, TAKASHI (ATC, LAT, CSCS, PES)
Entity Type:Individual
Prefix:MR
First Name:TAKASHI
Middle Name:
Last Name:ONUKI
Suffix:
Gender:M
Credentials:ATC, LAT, CSCS, PES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 W MAYFIELD RD
Mailing Address - Street 2:SUITE #116
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76014-2083
Mailing Address - Country:US
Mailing Address - Phone:972-623-2629
Mailing Address - Fax:972-623-2661
Practice Address - Street 1:515 W MAYFIELD RD
Practice Address - Street 2:SUITE #102
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76014-2083
Practice Address - Country:US
Practice Address - Phone:972-623-2629
Practice Address - Fax:972-623-2661
Is Sole Proprietor?:No
Enumeration Date:2006-02-17
Last Update Date:2010-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT38122255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer