Individual
JOHN BENJAMIN TAKAGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
901 MOUNTAIN VIEW DR, SHELTON, WA 98584-4401
(360) 427-9545
(360) 427-3616
Mailing address
7509 TRADITIONS AVE NE, LACEY, WA 98516-1336
(208) 703-8154
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60587662
WA
Other
Enumeration date
09/18/2020
Last updated
09/18/2020
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