Provider Demographics
NPI:1346737038
Name:CATALYST PHYSICAL THERAPY
Entity type:Organization
Organization Name:CATALYST PHYSICAL THERAPY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PT
Authorized Official - Prefix:
Authorized Official - First Name:ADRIENNE
Authorized Official - Middle Name:
Authorized Official - Last Name:DILIBERTO
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:206-755-3970
Mailing Address - Street 1:5901 ROOSEVELT WAY NE STE B
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-2763
Mailing Address - Country:US
Mailing Address - Phone:360-825-9665
Mailing Address - Fax:360-625-8665
Practice Address - Street 1:5901 ROOSEVELT WAY NE STE B
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-2763
Practice Address - Country:US
Practice Address - Phone:206-755-3970
Practice Address - Fax:360-625-8665
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-18
Last Update Date:2018-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty