| Doctor Name: | TAKASHI MISUDA |
| NPI Number: | 1578619680 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.T. |
| License Number: | PT00008305 |
| Business Practice Address: | 2321 Nw Schold Pl Silverdale, WA - 983839504 |
| Business Phone Number: | 3603377422 |
| Business Fax Number: | 3606987488 |
| Mailing Address: | 19255 Powder Hill Pl Ne Ste 200, POULSBO |
| State: | WA |
| Postal Code: | 983707455 |
| Phone Number: | 3606973003 |
| Fax Number: | 3606973026 |
| NPI Enumeration Date: | 01/25/2007 |
| NPI Last Update Date: | 05/19/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT00008305 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| 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 |