Provider Demographics
NPI:1689669343
Name:AKAHOSHI, GARRETT K (MPT)
Entity Type:Individual
Prefix:MR
First Name:GARRETT
Middle Name:K
Last Name:AKAHOSHI
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:21269 STEVENS CREEK BLVD STE 618
Mailing Address - Street 2:
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95014-5728
Mailing Address - Country:US
Mailing Address - Phone:408-366-1735
Mailing Address - Fax:408-366-1641
Practice Address - Street 1:21269 STEVENS CREEK BLVD STE 618
Practice Address - Street 2:
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-5728
Practice Address - Country:US
Practice Address - Phone:408-366-1735
Practice Address - Fax:408-366-1641
Is Sole Proprietor?:No
Enumeration Date:2005-09-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251572251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic