Healthcare Provider Details

I. General information

NPI: 1568444081
Provider Name (Legal Business Name): ANNE E HARMON GROUT
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 11/18/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11304 8TH AVE NE STE A
SEATTLE WA
98125-6111
US

IV. Provider business mailing address

11304 8TH AVE NE STE A
SEATTLE WA
98125-6111
US

V. Phone/Fax

Practice location:
  • Phone: 206-363-6184
  • Fax: 206-363-6543
Mailing address:
  • Phone: 206-363-6184
  • Fax: 206-363-6543

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT00006408
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License NumberPT00006408
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: