Healthcare Provider Details

I. General information

NPI: 1699666958
Provider Name (Legal Business Name): RACHEL ENYEART PT, DPT
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2025
Last Update Date: 07/14/2025
Certification Date: 07/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8750 GREENWOOD AVE N STE S1
SEATTLE WA
98103-3684
US

IV. Provider business mailing address

925 N 130TH ST
SEATTLE WA
98133-7502
US

V. Phone/Fax

Practice location:
  • Phone: 206-782-5789
  • Fax:
Mailing address:
  • Phone: 206-895-4653
  • Fax: 206-260-3037

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT70017817
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: