MEDICARE: KATHRYN E WILLIAMS PT

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	60932482	WA
2	225100000X	Physical Therapist	291722	CA

General Provider Information

NPI Number	:	1568916468
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHRYN E WILLIAMS PT

Provider Business Mailing Address
First Line	:	3225 NE 125TH ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98125-4516
Country	:	US
Telephone Number	:	206-736-5880
Fax Number	:	206-838-1503

Provider Business Practice Location Address
First Line	:	3225 NE 125TH ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98125
Country	:	US
Telephone Number	:	206-736-5880
Fax Number	:	206-838-1503

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

Provider Enumeration Date	:	08/09/2016
Last Update Date	:	06/05/2026

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