Healthcare Provider Details

I. General information

NPI: 1144807157
Provider Name (Legal Business Name): DAWN DOLOBOWSKY PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DAWN WOODCOX

II. Dates (important events)

Enumeration Date: 03/25/2021
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12900 NE 180TH ST STE 110
BOTHELL WA
98011-5773
US

IV. Provider business mailing address

12900 NE 180TH ST STE 110
BOTHELL WA
98011-5773
US

V. Phone/Fax

Practice location:
  • Phone: 425-483-4270
  • Fax: 425-483-4268
Mailing address:
  • Phone: 425-483-4270
  • Fax: 425-483-4268

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License NumberPT60360871
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT60360871
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: