| Doctor Name: | ALICE CHIEDZO HAKATA |
| NPI Number: | 1003169301 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT. MED. |
| License Number: | 1079937 |
| Business Practice Address: | 2828 N. Governeour, Larksfield Place Wichita, KS - 67226 |
| Business Phone Number: | 3166361111 |
| Business Fax Number: | 3168583971 |
| Mailing Address: | 706 Saint Eric Dr, MANSFIELD |
| State: | TX |
| Postal Code: | 760634800 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 10/24/2012 |
| NPI Last Update Date: | 10/24/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 1079937 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |