Individual
MR. KATSUMI TAKENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS
Contact information
Practice address
2640 CHRISTIE ST APT L, TOLEDO, OH 43606-3666
(208) 874-2915
Mailing address
2640 CHRISTIE ST APT L, TOLEDO, OH 43606-3666
(208) 874-2915
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT003138
OH
Other
Enumeration date
06/02/2020
Last updated
06/02/2020
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