Provider Demographics
NPI:1710487541
Name:YOSHIDA, MITSUHIRO (ATC, MA)
Entity Type:Individual
Prefix:
First Name:MITSUHIRO
Middle Name:
Last Name:YOSHIDA
Suffix:
Gender:M
Credentials:ATC, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:888 TIANLIN ROAD BUILDING 1 EAST MINHANG DISTRICT
Mailing Address - Street 2:
Mailing Address - City:SHANGHAI
Mailing Address - State:SHANGHAI
Mailing Address - Zip Code:200233
Mailing Address - Country:CN
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:888 TIANLIN ROAD BUILDING 1EAST MINHANG DISTRICT
Practice Address - Street 2:
Practice Address - City:SHANGHAI
Practice Address - State:SHANGHAI
Practice Address - Zip Code:200233
Practice Address - Country:CN
Practice Address - Phone:156-182-0051
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-19
Last Update Date:2018-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
9864472255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer