Doctor Name: | RHONDA WAKAI |
NPI Number: | 1003211418 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 652 |
Business Practice Address: | 1940 Harve Ave #2 Missoula, MT - 598018332 |
Business Phone Number: | 4065420808 |
Business Fax Number: | 4065420909 |
Mailing Address: | 1003 Bear Paws Cluster, MISSOULA |
State: | MT |
Postal Code: | 598088660 |
Phone Number: | 4062418739 |
Fax Number: | |
NPI Enumeration Date: | 10/28/2014 |
NPI Last Update Date: | 10/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251E1200X |
License Number: | 652 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MT |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Ergonomics |
Taxonomy Definition: |