Provider Demographics
NPI:1871211441
Name:AOIKE, NAOKO (CMT)
Entity type:Individual
Prefix:
First Name:NAOKO
Middle Name:
Last Name:AOIKE
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1122 CORPORATE WAY STE 300
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95831-6125
Mailing Address - Country:US
Mailing Address - Phone:916-395-5884
Mailing Address - Fax:
Practice Address - Street 1:1122 CORPORATE WAY STE 300
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95831-6125
Practice Address - Country:US
Practice Address - Phone:916-395-5884
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-18
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA91169225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA91169OtherCALIFORNIA MASSAGE THERAPY COUNCIL