NPI 1093542268 · live from the CMS NPI Registry
Carissa Anderson, PT, DPT
Physical Therapist in Issaquah, WA. National Provider Identifier 1093542268, active.
NPI record
| NPI | 1093542268 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 5150 220th Ave Se, Issaquah, WA 98029 |
| Practice phone | 603-738-9638 |
| Mailing address | 1718 Ne 143rd St, Seattle, WA 98125 |
| Enumerated | September 19, 2024 |
| Last updated | September 19, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | PT61228489 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.