IndividualActive
Shingo Tanaka, MPT
NPI 1003004342 · Physical Therapist · Rangely, CO
Provider details
- NPI number
- 1003004342
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MPT
- Sex
- Male
- Sole proprietor
- No
- License
- PT011869 (OH)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
225 Eagle Crest St
Rangely, CO 81648-3105
Phone: (970) 675-4205
Fax: (970) 675-4270
Approximate (ZIP-level) locationGet directions
Mailing address
225 Eagle Crest St
Rangely, CO 81648-3105
Registry dates
- Enumerated
- 2007-10-11
- Last updated
- 2013-10-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.