Doctor Name: | MR. KOJI OHASHI |
NPI Number: | 1184002297 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MASSAGE THERAPIST |
License Number: | 227.003507 |
Business Practice Address: | 901 Biesterfield Rd. Ste 211 Maria A. Castellese D.c., P.c. Elk Grove, IL - 60007 |
Business Phone Number: | 8476909492 |
Business Fax Number: | 8473579181 |
Mailing Address: | 1319 Dunleer Dr., MUNDELEIN |
State: | IL |
Postal Code: | 60060 |
Phone Number: | 2247151107 |
Fax Number: | |
NPI Enumeration Date: | 05/08/2015 |
NPI Last Update Date: | 05/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 227.003507 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |