Individual ProviderMichi YamazakiPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address2039 Forest Ave, #104, San Jose, CA 95128-4817(408) 279-8501(408) 733-3670PECOS EnrollmentBased on the most recent information from CMS, provider Michi Yamazaki does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1891041869Provider TypeIndividualFull NameYamazaki, MichiCredentialP.T.GenderFemaleSole ProprietorNoEnumeration Date7/27/2012Last Updated1/7/2013Contact InformationPractice LocationPractice Address2039 Forest Ave, #104, San Jose, CA 95128-4817Phone(408) 279-8501Fax(408) 279-8504Mailing LocationMailing Address246 Sorbrante Way, Sunnyvale, CA 94086-4807Phone(408) 733-3670Fax(408) 245-7968Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicensePT 39165California