Healthcare Provider Details

I. General information

NPI: 1134754062
Provider Name (Legal Business Name): ELIZABETH CHARLENE VOTH DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/11/2020
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

405 SW 41ST ST STE 407
RENTON WA
98057-4926
US

IV. Provider business mailing address

4011 TALBOT RD S STE 300
RENTON WA
98055-5791
US

V. Phone/Fax

Practice location:
  • Phone: 425-656-5060
  • Fax: 425-656-5047
Mailing address:
  • Phone: 425-656-5060
  • Fax: 425-656-5047

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number60961781
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: