Healthcare Provider Details

I. General information

NPI: 1205636123
Provider Name (Legal Business Name): KATHERINE BRIGGS PT
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/18/2025
Last Update Date: 04/12/2026
Certification Date: 04/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18323 98TH AVE NE STE 1
BOTHELL WA
98011-3358
US

IV. Provider business mailing address

18323 98TH AVE NE STE 1
BOTHELL WA
98011-3358
US

V. Phone/Fax

Practice location:
  • Phone: 618-779-1695
  • Fax:
Mailing address:
  • Phone: 618-779-1695
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT61661298
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: