Provider Demographics
NPI:1295333235
Name:HOKAMA, NIKE (DPT)
Entity type:Individual
Prefix:
First Name:NIKE
Middle Name:
Last Name:HOKAMA
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14516 NE 42ND PL APT 503
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98007-3183
Mailing Address - Country:US
Mailing Address - Phone:808-421-9228
Mailing Address - Fax:
Practice Address - Street 1:2227 152ND AVE NE STE A
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-5519
Practice Address - Country:US
Practice Address - Phone:425-643-2928
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-12
Last Update Date:2020-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61094764225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist