Healthcare Provider Details

I. General information

NPI: 1114352259
Provider Name (Legal Business Name): SARAH MARIE WALKER P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH MARIE CUMMINGS P.T.

II. Dates (important events)

Enumeration Date: 09/09/2013
Last Update Date: 02/06/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2611 NE 125TH ST SUITE 140
SEATTLE WA
98125-4373
US

IV. Provider business mailing address

16083 SW UPPER BOONES FERRY RD SUITE 300
TIGARD OR
97224-7736
US

V. Phone/Fax

Practice location:
  • Phone: 206-361-4746
  • Fax: 206-361-4877
Mailing address:
  • Phone: 800-219-8835
  • Fax: 503-639-9699

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT60385832
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: