Healthcare Provider Details

I. General information

NPI: 1861006546
Provider Name (Legal Business Name): SARAH JOY WHITE PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH JOY CUNDIFF PT, DPT

II. Dates (important events)

Enumeration Date: 09/01/2020
Last Update Date: 10/20/2023
Certification Date: 10/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1815 N 45TH ST STE 202
SEATTLE WA
98103-6856
US

IV. Provider business mailing address

1815 N 45TH ST STE 202
SEATTLE WA
98103-6856
US

V. Phone/Fax

Practice location:
  • Phone: 206-752-6837
  • Fax: 206-701-3398
Mailing address:
  • Phone: 206-752-6837
  • Fax: 206-701-3398

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTH9913
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT61434778
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: