Provider Demographics
NPI:1548529381
Name:OKAWA, YASUAKI (MS, ATC)
Entity type:Individual
Prefix:
First Name:YASUAKI
Middle Name:
Last Name:OKAWA
Suffix:
Gender:M
Credentials:MS, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:214-9 HIGASHINAKANO
Mailing Address - Street 2:CHARLOTTETOWN2 202
Mailing Address - City:HACHIOJI
Mailing Address - State:TOKYO
Mailing Address - Zip Code:1920351
Mailing Address - Country:JP
Mailing Address - Phone:0901-625-0719
Mailing Address - Fax:
Practice Address - Street 1:214-9 HIGASHINAKANO
Practice Address - Street 2:CHARLOTTETOWN2 202
Practice Address - City:HACHIOJI
Practice Address - State:TOKYO
Practice Address - Zip Code:1920351
Practice Address - Country:JP
Practice Address - Phone:0901-625-0719
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-14
Last Update Date:2012-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator