Nitta, Brooke Miyoko

Nitta, Brooke Miyoko is an individual health care provider with primary practice located at 1417 S Pioneer Way , Moses Lake WA 98837-2458. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Nitta, Brooke Miyoko can be contacted via phone (509) 765-1856.

Contact Information

Primary practice address
1417 S Pioneer Way Moses Lake WA 98837-2458
Phone: (509) 765-1856
Fax: (509) 765-3323
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X P160045839 Washington
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 8702 California

Profile Details

NPI number 1023259017
LBN Legal business name Nitta, Brooke Miyoko
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2009
Last updated May 30th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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