Provider Demographics
NPI:1396294666
Name:METOKI, SONNY MURATA
Entity type:Individual
Prefix:MR
First Name:SONNY
Middle Name:MURATA
Last Name:METOKI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:234 WILSON RD
Mailing Address - Street 2:WEST HOLDEN HALL RM 332
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48825-4000
Mailing Address - Country:US
Mailing Address - Phone:231-527-5001
Mailing Address - Fax:
Practice Address - Street 1:2775 E LANSING DR
Practice Address - Street 2:
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-7755
Practice Address - Country:US
Practice Address - Phone:517-332-1616
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-28
Last Update Date:2016-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner