Provider Demographics
NPI:1700108206
Name:CULLIMORE, YUKI (PT)
Entity Type:Individual
Prefix:
First Name:YUKI
Middle Name:
Last Name:CULLIMORE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 N SANTA ANITA AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91006-3157
Mailing Address - Country:US
Mailing Address - Phone:626-538-2751
Mailing Address - Fax:626-226-5962
Practice Address - Street 1:75 N SANTA ANITA AVE STE 105
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91006-3157
Practice Address - Country:US
Practice Address - Phone:626-538-2751
Practice Address - Fax:626-226-5962
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-24
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA35877225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist