| Mr Shingo Tanaka, MPT | |
|
225 Eagle Crest St, Rangely, CO 81648-3105 | |
| (970) 675-4205 | |
| (970) 675-4270 |
| Full Name | Mr Shingo Tanaka |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 225 Eagle Crest St, Rangely, Colorado |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003004342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT011869 (Ohio) | Secondary |
| 225100000X | Physical Therapist | 10367 (Colorado) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Shingo Tanaka, MPT 225 Eagle Crest St, Rangely, CO 81648-3105 Ph: (970) 675-4205 | Mr Shingo Tanaka, MPT 225 Eagle Crest St, Rangely, CO 81648-3105 Ph: (970) 675-4205 |
Nicole Marie Danielson, DPT, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 225 Eagle Crest, Rangely, CO 81648 Phone: 970-675-4205 | |
Dr. Gregory Earl Fugal, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 225 Eagle Crest Dr, Rangely, CO 81648 Phone: 970-675-4205 Fax: 970-675-4270 |