Healthcare Provider Details

I. General information

NPI: 1184544819
Provider Name (Legal Business Name): JOSEPHINE ISABEL COOKE DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4351 15TH AVE S # 102
SEATTLE WA
98108-1474
US

IV. Provider business mailing address

5620 RAINIER AVE S # 102
SEATTLE WA
98118-2498
US

V. Phone/Fax

Practice location:
  • Phone: 206-620-1589
  • Fax: 206-620-6051
Mailing address:
  • Phone: 206-535-8061
  • Fax: 206-535-8064

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT70146328
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: