Provider Demographics
NPI:1851799761
Name:HARA, CHIAKI
Entity Type:Individual
Prefix:
First Name:CHIAKI
Middle Name:
Last Name:HARA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CHIAKI
Other - Middle Name:
Other - Last Name:SATO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2-29 KAMIUCHIMACHI
Mailing Address - Street 2:
Mailing Address - City:YOKOTE-SHI
Mailing Address - State:AKITA-KEN
Mailing Address - Zip Code:0130014
Mailing Address - Country:JP
Mailing Address - Phone:0907-237-3925
Mailing Address - Fax:
Practice Address - Street 1:2-29 KAMIUCHIMACHI
Practice Address - Street 2:
Practice Address - City:YOKOTE-SHI
Practice Address - State:AKITA-KEN
Practice Address - Zip Code:0130014
Practice Address - Country:JP
Practice Address - Phone:0907-237-3925
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-09
Last Update Date:2014-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer