Provider Demographics
NPI:1295166080
Name:KINOSHITA, YOSHIKO (LMT)
Entity type:Individual
Prefix:
First Name:YOSHIKO
Middle Name:
Last Name:KINOSHITA
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 601
Mailing Address - Street 2:
Mailing Address - City:FLORHAM PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07932-0601
Mailing Address - Country:US
Mailing Address - Phone:973-552-8078
Mailing Address - Fax:
Practice Address - Street 1:466 SOUTHERN BLVD, ADAMS BLDG, 1ST FLOOR
Practice Address - Street 2:C/O BODY MOKSHA PHYSICAL THERAPY
Practice Address - City:CHATHAM
Practice Address - State:NJ
Practice Address - Zip Code:07928
Practice Address - Country:US
Practice Address - Phone:973-552-8078
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-04
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60412385225700000X
FLMA97459225700000X
NJ18KT01238600225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist