Provider Demographics
NPI:1588944870
Name:AZEKAWA, MEGUMI (MT-BC)
Entity type:Individual
Prefix:
First Name:MEGUMI
Middle Name:
Last Name:AZEKAWA
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2522 N. PROCTOR ST.
Mailing Address - Street 2:#350
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98406
Mailing Address - Country:US
Mailing Address - Phone:253-448-1400
Mailing Address - Fax:
Practice Address - Street 1:2522 N PROCTOR ST
Practice Address - Street 2:#350
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98406-5338
Practice Address - Country:US
Practice Address - Phone:253-448-1400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-18
Last Update Date:2017-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist