Healthcare Provider Details

I. General information

NPI: 1518009455
Provider Name (Legal Business Name): SANDIE G ZIEVE P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2007
Last Update Date: 11/17/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5025 25TH AVE NE S
SEATTLE WA
98105
US

IV. Provider business mailing address

7318 51ST AVE NE
SEATTLE WA
98115
US

V. Phone/Fax

Practice location:
  • Phone: 206-524-6702
  • Fax: 206-524-6703
Mailing address:
  • Phone: 206-999-4497
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT00003300
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: