Provider Demographics
NPI:1497887301
Name:SESHIKI, KAI LEO (ATC)
Entity Type:Individual
Prefix:MR
First Name:KAI
Middle Name:LEO
Last Name:SESHIKI
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 NW TRUE ST APT 3
Mailing Address - Street 2:
Mailing Address - City:PULLMAN
Mailing Address - State:WA
Mailing Address - Zip Code:99163-3444
Mailing Address - Country:US
Mailing Address - Phone:509-432-4593
Mailing Address - Fax:
Practice Address - Street 1:140 NW TRUE ST APT 3
Practice Address - Street 2:
Practice Address - City:PULLMAN
Practice Address - State:WA
Practice Address - Zip Code:99163-3444
Practice Address - Country:US
Practice Address - Phone:509-432-4593
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA2255A2300X2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer