Provider Demographics
NPI:1497023923
Name:SIEFKES, MEGAN ADAIR (MS, OTR/L)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:ADAIR
Last Name:SIEFKES
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1620 MELROSE AVE
Mailing Address - Street 2:APT 101
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-2053
Mailing Address - Country:US
Mailing Address - Phone:605-864-8962
Mailing Address - Fax:
Practice Address - Street 1:1045 S 308TH ST
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-4706
Practice Address - Country:US
Practice Address - Phone:206-920-1159
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-12
Last Update Date:2011-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT 60215506225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist