Individual
MR. TAKUYA KIKUCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS
Contact information
Practice address
2121 EUCLID AVE, SB6, CLEVELAND, OH 44115
(216) 687-4806
(216) 687-9267
Mailing address
2000 PROSPECT AVE E, CLEVELAND, OH 44115-2318
(216) 687-5287
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.005079
OH
Other
Enumeration date
11/08/2016
Last updated
08/31/2018
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