Provider Demographics
NPI:1124322144
Name:SUNAGA, SATOMI (DC, LAC)
Entity type:Individual
Prefix:DR
First Name:SATOMI
Middle Name:
Last Name:SUNAGA
Suffix:
Gender:F
Credentials:DC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13325 100TH AVE NE STE D
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-5213
Mailing Address - Country:US
Mailing Address - Phone:425-814-9644
Mailing Address - Fax:425-814-7395
Practice Address - Street 1:13325 100TH AVE NE STE D
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-5213
Practice Address - Country:US
Practice Address - Phone:425-814-9644
Practice Address - Fax:425-814-7395
Is Sole Proprietor?:No
Enumeration Date:2011-01-05
Last Update Date:2019-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH60200000111N00000X
CADC31710111N00000X
WAAC60214215171100000X
CAAC15861171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturist