Provider Demographics
NPI:1952967333
Name:KUNITA, GEOFFREY YOSHIAKI (DPT)
Entity Type:Individual
Prefix:
First Name:GEOFFREY
Middle Name:YOSHIAKI
Last Name:KUNITA
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17907 NE 78TH WAY
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98682-1536
Mailing Address - Country:US
Mailing Address - Phone:808-265-8877
Mailing Address - Fax:
Practice Address - Street 1:17770 SE MILL PLAIN BLVD
Practice Address - Street 2:SUITE 190
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98683
Practice Address - Country:US
Practice Address - Phone:360-260-4749
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-11
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist