Individual
MICHE NAKATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT,
Contact information
Practice address
5656 S POWER RD STE 139, GILBERT, AZ 85295-8490
(480) 272-7797
(480) 566-8330
Mailing address
5656 S POWER RD STE 139, GILBERT, AZ 85295-8490
(480) 272-7797
(480) 566-8330
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-32456
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32456
LICENSE
AZ
Enumeration date
07/29/2022
Last updated
07/29/2022
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