MIEKO TAKEMOTO NPI 1205790698

NPI Information

  • NPI: 1205790698
  • Provider Name: MIEKO TAKEMOTO
  • Classification: Recreation Therapist - 225800000X
  • Entity Type: Individual
  • Address: 2514 MARY ST
    MONTROSE, CA
    ZIP 91020
  • Phone: (626) 278-8437

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NPI Details

Mieko Takemoto is a recreation therapist in Montrose, CA. The provider is a recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. Mieko Takemoto NPI is 1205790698. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2514 MARY ST
MONTROSE, CA
ZIP 91020-125
Phone: (626) 278-8437

The enumeration date for this NPI number is 12/11/2025 and was last updated on 12/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225800000XRecreation Therapist57556CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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