Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kota Omizu

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1689313850

Kota Omizu is a Student in an Organized Health Care Education/Training Program in Ames, Iowa. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2

Practice location Address checks out

Forker Bldg 534 Wallace RD
Ames, IA 50011-0001
Phone: (515) 708-7633
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1689313850
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 3, 2022
Last updated in NPPESJune 7, 2024
Certification dateJune 7, 2024
Mailing addressForker Building 534 Wallace Rd, Ames, IA 50011-0001

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