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

Micah M Shimabuku, PT

Individual provider Physical Therapist · NPI 1053052076

Micah M Shimabuku, PT is a Physical Therapist in Renton, Washington. Licensed in Washington. Registered with an NPI since 2022.

Licensed in
WA
In the registry since
2022
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

400 S 43rd St
Renton, WA 98055-5714
Phone: (425) 690-3650
Fax: (425) 690-9650
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT61220141 (WA)

Record details

NPI number1053052076
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedApril 5, 2022
Last updated in NPPESApril 5, 2022
Certification dateApril 4, 2022

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