Healthcare Provider Details

I. General information

NPI: 1073482881
Provider Name (Legal Business Name): SAHALE PHYSICAL THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/30/2025
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2303 W COMMODORE WAY STE 204
SEATTLE WA
98199-1261
US

IV. Provider business mailing address

523 N 77TH ST
SEATTLE WA
98103-4703
US

V. Phone/Fax

Practice location:
  • Phone: 612-817-2155
  • Fax:
Mailing address:
  • Phone: 206-657-7546
  • Fax: 206-260-7333

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: GRANT HENNINGTON
Title or Position: CLINIC OWNER & PHYSICAL THERAPIST
Credential: DPT
Phone: 612-817-2155