Provider Demographics
NPI:1295142917
Name:AKEHI, KAZUMA (PHD, ATC)
Entity type:Individual
Prefix:DR
First Name:KAZUMA
Middle Name:
Last Name:AKEHI
Suffix:
Gender:M
Credentials:PHD, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1410 W 26TH ST
Mailing Address - Street 2:CUSHING 129
Mailing Address - City:KEARNEY
Mailing Address - State:NE
Mailing Address - Zip Code:68849-4902
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1410 W 26TH ST
Practice Address - Street 2:CUSHING 129
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68849-4902
Practice Address - Country:US
Practice Address - Phone:405-818-7153
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-15
Last Update Date:2014-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer