MEDICARE: KATHERINE JARRETT WINBORN DPT

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	PT00010438	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	:	1710167176
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE JARRETT WINBORN DPT

Provider Business Mailing Address
First Line	:	PO BOX 84026
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98124-8426
Country	:	US
Telephone Number	:	206-320-5510
Fax Number	:	206-320-5522

Provider Business Practice Location Address
First Line	:	3400 CALIFORNIA AVE SW
Second Line	:	STE 100
City	:	SEATTLE
State	:	WA
Zip	:	98116-3307
Country	:	US
Telephone Number	:	206-320-5510
Fax Number	:	206-320-5522

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

Provider Enumeration Date	:	11/13/2007
Last Update Date	:	02/18/2009

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