Healthcare Provider Details

I. General information

NPI: 1598834707
Provider Name (Legal Business Name): MICHELE MARIE HONEYCUTT PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MICHELE MARIE SAWYER PT

II. Dates (important events)

Enumeration Date: 11/06/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3850 MONTLAKE BLVD NE ROOM 148B
SEATTLE WA
98195-0001
US

IV. Provider business mailing address

8411 192ND ST SW
EDMONDS WA
98026-6124
US

V. Phone/Fax

Practice location:
  • Phone: 206-543-1552
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT00005483
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: