Provider Demographics
NPI:1982406831
Name:NAKACHI, BROCK YUSEI (DPT)
Entity type:Individual
Prefix:
First Name:BROCK
Middle Name:YUSEI
Last Name:NAKACHI
Suffix:
Gender:
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1915 WELLINGTON LN APT 169
Mailing Address - Street 2:
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92081-7973
Mailing Address - Country:US
Mailing Address - Phone:808-753-1078
Mailing Address - Fax:
Practice Address - Street 1:137 S LAS POSAS RD STE 254
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:CA
Practice Address - Zip Code:92078-2475
Practice Address - Country:US
Practice Address - Phone:760-290-3121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic