Provider Demographics
NPI:1336360700
Name:AKERLUND, SARA L (LMP)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:L
Last Name:AKERLUND
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:L
Other - Last Name:AKERLUND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMP
Mailing Address - Street 1:4507 SUNNYSIDE AVE N STE C
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-6954
Mailing Address - Country:US
Mailing Address - Phone:425-269-4745
Mailing Address - Fax:
Practice Address - Street 1:4507 SUNNYSIDE AVE N STE C
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-6954
Practice Address - Country:US
Practice Address - Phone:425-269-4745
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2016-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00017427225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist