Healthcare Provider Details

I. General information

NPI: 1700906062
Provider Name (Legal Business Name): KATHARINE E CHEN DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATHARINE THOMAS DPT

II. Dates (important events)

Enumeration Date: 03/30/2007
Last Update Date: 12/20/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6500 6TH AVE NW SUITE A
SEATTLE WA
98117
US

IV. Provider business mailing address

6500 6TH AVE NW SUITE A
SEATTLE WA
98117
US

V. Phone/Fax

Practice location:
  • Phone: 206-789-8869
  • Fax: 206-789-8873
Mailing address:
  • Phone: 206-789-8869
  • Fax: 206-789-8873

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1166608
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number070015776
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: