Provider Demographics
NPI:1053666347
Name:SAGAMI, SHEILA SETSUKO (OTR)
Entity Type:Individual
Prefix:MS
First Name:SHEILA
Middle Name:SETSUKO
Last Name:SAGAMI
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3701 219TH ST SW
Mailing Address - Street 2:3701 219TH ST. S.W.
Mailing Address - City:BRIER
Mailing Address - State:WA
Mailing Address - Zip Code:98036-8079
Mailing Address - Country:US
Mailing Address - Phone:425-350-2421
Mailing Address - Fax:
Practice Address - Street 1:10200 HARBOUR PL
Practice Address - Street 2:
Practice Address - City:MUKILTEO
Practice Address - State:WA
Practice Address - Zip Code:98275-4733
Practice Address - Country:US
Practice Address - Phone:425-315-8200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-23
Last Update Date:2012-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA00001083225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist