Healthcare Provider Details

I. General information

NPI: 1538077839
Provider Name (Legal Business Name): ALLEN SAEWONG PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2026
Last Update Date: 08/29/2026
Certification Date: 08/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1309 HARBOR AVE SW STE A
SEATTLE WA
98116-1784
US

IV. Provider business mailing address

18843 MIDVALE AVE N
SHORELINE WA
98133-4029
US

V. Phone/Fax

Practice location:
  • Phone: 206-906-9207
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT.PT.70166491
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: