Provider Demographics
NPI:1053732651
Name:BRATTKUS, SARAH
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:BRATTKUS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30911 1ST AVE S
Mailing Address - Street 2:APT 101
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-4091
Mailing Address - Country:US
Mailing Address - Phone:206-861-3980
Mailing Address - Fax:
Practice Address - Street 1:22014 7TH AVE S
Practice Address - Street 2:SUITE 105
Practice Address - City:DES MOINES
Practice Address - State:WA
Practice Address - Zip Code:98198-6235
Practice Address - Country:US
Practice Address - Phone:206-861-3980
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-27
Last Update Date:2013-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist