MEDICARE: ALANA JOSEPHINE ROGERS D.P.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT60477748	WA

General Provider Information

NPI Number	:	1205235314
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALANA JOSEPHINE ROGERS D.P.T.

Provider Business Mailing Address
First Line	:	515 NE 81ST ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98115-4153
Country	:	US
Telephone Number	:	206-330-1885
Fax Number	:

Provider Business Practice Location Address
First Line	:	3517 STONE WAY N
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98103-8923
Country	:	US
Telephone Number	:	206-385-0330
Fax Number	:	206-681-9963

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/14/2014
Last Update Date	:	11/11/2020

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