Search › California › 225700000X
Keisuke Ida, ATC, MT
NPI 1568276954 · on the registry since 2025 · sole proprietor
Practice
- Address
- 2040 Padside Dr
Roseville, CA 95747 - Phone
- (916) 865-7990
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Sex
- Male
- Record last updated
- 2025-02-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California