CREIGHTON IKEDA

Physical Therapy Assistant

Active Individual
NPI: 1477216406

Practice Address

3100 SCHOFIELD RD.
BLDG 1179, ROOM 1CC5
Ft. Sam Houston, TX 78234

Phone: (210) 808-2228

Specialties

Specialty Code Primary License
Physical Therapy Assistant 225200000X Yes 2148938 (TX)

Frequently Asked Questions

NPI 1477216406 is the National Provider Identifier for CREIGHTON IKEDA, a Physical Therapy Assistant provider located in Ft. Sam Houston, TX. This NPI was enumerated on October 17, 2021.
CREIGHTON IKEDA practices at 3100 SCHOFIELD RD., BLDG 1179, ROOM 1CC5, Ft. Sam Houston, TX 78234.

Quick Facts

NPI
1477216406
Type
Individual
Enumerated
Oct 17, 2021
Last Updated
Oct 17, 2021

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