Healthcare Provider Details

I. General information

NPI: 1710899984
Provider Name (Legal Business Name): ANNA BENNES DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

925 N 130TH ST
SEATTLE WA
98133-7502
US

IV. Provider business mailing address

925 N 130TH ST
SEATTLE WA
98133-7502
US

V. Phone/Fax

Practice location:
  • Phone: 206-895-4653
  • Fax: 206-260-3037
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 NumberPT.PT.70154927
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: