Healthcare Provider Details

I. General information

NPI: 1346826690
Provider Name (Legal Business Name): ALEXANDRIA PATTERSON PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALLY PATTERSON PT

II. Dates (important events)

Enumeration Date: 03/18/2021
Last Update Date: 03/18/2021
Certification Date: 03/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1959 NE PACIFIC ST FL 8
SEATTLE WA
98195-0001
US

IV. Provider business mailing address

1959 NE PACIFIC ST FL 8
SEATTLE WA
98195-0001
US

V. Phone/Fax

Practice location:
  • Phone: 206-598-4295
  • Fax: 206-598-2813
Mailing address:
  • Phone:
  • Fax: 206-598-2813

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT.PT.61114023
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: