Provider Demographics
NPI:1447854021
Name:KATO, MARIKO (DC)
Entity type:Individual
Prefix:
First Name:MARIKO
Middle Name:
Last Name:KATO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7001 ORCHARD LAKE RD STE 332
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-3661
Mailing Address - Country:US
Mailing Address - Phone:248-862-5355
Mailing Address - Fax:
Practice Address - Street 1:7001 ORCHARD LAKE RD STE 332
Practice Address - Street 2:
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322-3661
Practice Address - Country:US
Practice Address - Phone:248-862-5355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-24
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR010450111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition