Creighton Ikeda
NPI #1477216406 in Ft. Sam Houston, Texas
Provider Information
- NPI Number
- 1477216406
- Entity Type
- Individual
- Name
- Creighton Ikeda
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- Oct 17, 2021
- Last Updated
- Oct 17, 2021
Practice Location
- Address
- 3100 SCHOFIELD RD.
- Address 2
- BLDG 1179, ROOM 1CC5
- City
- Ft. Sam Houston
- State
- Texas
- ZIP Code
- 78234
- Phone
- (210) 808-2228
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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