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

Mieko Takemoto

Individual provider Recreation Therapist · NPI 1205790698

Mieko Takemoto is a Recreation Therapist in Montrose, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

2514 Mary St
Montrose, CA 91020-1125
Phone: (626) 278-8437
Show map & directions

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

Specialties & licences

Recreation Therapist (primary) Taxonomy 225800000X · Licence 57556 (CA)

Record details

NPI number1205790698
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 11, 2025
Last updated in NPPESDecember 11, 2025
Certification dateDecember 11, 2025
Mailing address2514 Mary St, Montrose, CA 91020-1125