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NPI Code Detail

MEDICARE: SAHALE PHYSICAL THERAPY, LLC

MEDICARE: SAHALE PHYSICAL THERAPY, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2000XPhysical Therapy Clinic/Center

General Provider Information

NPI Number : 1073482881
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAHALE PHYSICAL THERAPY, LLC
Provider Business Mailing Address
First Line : 523 N 77TH ST
Second Line :
City : SEATTLE
State : WA
Zip : 98103-4703
Country : US
Telephone Number : 206-657-7546
Fax Number : 206-260-7333
Provider Business Practice Location Address
First Line : 2303 W COMMODORE WAY STE 204
Second Line :
City : SEATTLE
State : WA
Zip : 98199-1261
Country : US
Telephone Number : 612-817-2155
Fax Number :
Authorized Official
Title or Position : CLINIC OWNER & PHYSICAL THERAPIST
Name : GRANT HENNINGTON
Credential : DPT
Telephone Number : 612-817-2155
Provider Enumeration Date : 10/30/2025
Last Update Date : 01/08/2026

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Directions to “SAHALE PHYSICAL THERAPY, LLC ” Practice Location

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