Individual provider · Type 1 NPI

Kathleen Ikuta, PT

Pediatric Physical Therapist · San Mateo, CA

NPI number 1396147278 Active

Practice location

1650 S Amphlett Blvd Ste 108
San Mateo, CA 94402-2514

Fax (650) 638-9141

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X41709 (CA)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1396147278

Kathleen Ikuta, PT's National Provider Identifier is 1396147278, issued on Sep 22, 2014. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in San Mateo, CA. The record was last updated on Sep 22, 2014.