Healthcare Provider Details

I. General information

NPI: 1205724895
Provider Name (Legal Business Name): TAYLOR BYRNE DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2025
Last Update Date: 06/24/2025
Certification Date: 06/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17500 133RD AVE NE, STE A
WOODINVILLE WA
98072
US

IV. Provider business mailing address

209 KIRKLAND AVE
KIRKLAND WA
98033-6503
US

V. Phone/Fax

Practice location:
  • Phone: 206-794-2208
  • Fax:
Mailing address:
  • Phone: 425-629-3502
  • Fax: 425-629-3517

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT70010144
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: