Provider Demographics
NPI:1205621257
Name:SHAKOOR ASADI, SUSAN (BSRT)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:
Last Name:SHAKOOR ASADI
Suffix:
Gender:F
Credentials:BSRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1959 NE PACIFIC ST ROOM CC404 BOX 356172
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98195-0001
Mailing Address - Country:US
Mailing Address - Phone:206-598-5644
Mailing Address - Fax:
Practice Address - Street 1:1959 NE PACIFIC ST ROOM CC404 BOX 356172
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98195-0001
Practice Address - Country:US
Practice Address - Phone:206-598-5644
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-10
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA227900000X
227900000X
WALR00003113227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered