Provider Demographics
NPI:1215705280
Name:AOKI, KOJI (DC)
Entity type:Individual
Prefix:DR
First Name:KOJI
Middle Name:
Last Name:AOKI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2550 PILLOW DR APT F121
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:TN
Mailing Address - Zip Code:38401-1668
Mailing Address - Country:US
Mailing Address - Phone:801-833-1287
Mailing Address - Fax:
Practice Address - Street 1:506 N HIGH ST
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:TN
Practice Address - Zip Code:38401-2734
Practice Address - Country:US
Practice Address - Phone:931-223-5455
Practice Address - Fax:615-314-2880
Is Sole Proprietor?:No
Enumeration Date:2023-12-19
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3799111NN1001X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NN1001XChiropractic ProvidersChiropractorNutrition