Provider Demographics
NPI:1598214942
Name:SEWALSON, JAMI CATHERINE (RRT)
Entity Type:Individual
Prefix:
First Name:JAMI
Middle Name:CATHERINE
Last Name:SEWALSON
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3613 WILLIAMS DR
Mailing Address - Street 2:SUITE 1003
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78628-1377
Mailing Address - Country:US
Mailing Address - Phone:512-496-0690
Mailing Address - Fax:512-842-7318
Practice Address - Street 1:3613 WILLIAMS DR
Practice Address - Street 2:SUITE 1003
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78628-1377
Practice Address - Country:US
Practice Address - Phone:512-496-0690
Practice Address - Fax:512-842-7318
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-27
Last Update Date:2016-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX68379227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered