Healthcare Provider Details

I. General information

NPI: 1013926401
Provider Name (Legal Business Name): CATHY A. OLSON PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CATHY A. ANNABLE PT

II. Dates (important events)

Enumeration Date: 08/05/2006
Last Update Date: 03/09/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 NW GILMAN BLVD SUITE A
ISSAQUAH WA
98027-2445
US

IV. Provider business mailing address

805 MADISON ST SUITE 901
SEATTLE WA
98104-1172
US

V. Phone/Fax

Practice location:
  • Phone: 425-313-3055
  • Fax: 425-313-3051
Mailing address:
  • Phone: 206-264-8100
  • Fax: 206-264-8689

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT00007556
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: