Noritake Kotohda, MA60779709

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60779709 Issued in WA

Practice address

25 N Wenatchee Ave Ste 110
Wenatchee, WA 98801-2201

Phone

(509) 670-0327

NPI assigned

Jun 10, 2021

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1811564537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 N WENATCHEE AVE STE 110",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012201",
            "telephone_number": "509-670-0327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 N WENATCHEE AVE STE 110",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012201",
            "telephone_number": "509-670-0327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTOHDA",
        "first_name": "NORITAKE",
        "credential": "MA60779709",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-10",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60779709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Gregory Koch, DC
• Bernie Kopfer, DDS
• Flicka Korfiatis, PA-C
• Debra Kortze, SLP
• Andrew Kossmann, RN
• Jessica Kowalczyk
• Susan F Koziol, MSW
• Ken Kozlowski, RPH
• Jacob Daniel Kragt, DC
• Felix Krainski, M.D.

• Massage Therapist in Wenatchee, WA
• Providers in Wenatchee, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.