Provider Demographics
NPI:1891582698
Name:DAVENPORT, ABIGAIL (DPT)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:
Last Name:DAVENPORT
Suffix:
Gender:
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2541 31ST AVE W
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98199-3335
Mailing Address - Country:US
Mailing Address - Phone:206-795-6910
Mailing Address - Fax:
Practice Address - Street 1:4351 15TH AVE S # 102
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98108-1474
Practice Address - Country:US
Practice Address - Phone:206-620-1589
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-23
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist