MEDICARE: CARRIE BETH SIEBER 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	PT00009599	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598711194
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARRIE BETH SIEBER PT

Provider Business Mailing Address
First Line	:	6520 226TH PL SE
Second Line	:	SUITE 205
City	:	ISSAQUAH
State	:	WA
Zip	:	98027-8969
Country	:	US
Telephone Number	:	425-392-8611
Fax Number	:	425-392-9012

Provider Business Practice Location Address
First Line	:	6520 226TH PL SE
Second Line	:	SUITE 205
City	:	ISSAQUAH
State	:	WA
Zip	:	98027-8969
Country	:	US
Telephone Number	:	425-392-8611
Fax Number	:	425-392-9012

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

Provider Enumeration Date	:	05/25/2006
Last Update Date	:	01/20/2015

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Directions to “ CARRIE BETH SIEBER PT” Practice Location

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