Provider Demographics
NPI:1326270810
Name:BERKSHIRE, SARAH REBECCA (DPT)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:REBECCA
Last Name:BERKSHIRE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:8315 5TH AVE NE STE B
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-4100
Mailing Address - Country:US
Mailing Address - Phone:541-953-8409
Mailing Address - Fax:206-590-6230
Practice Address - Street 1:8315 5TH AVE NE STE B
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-4100
Practice Address - Country:US
Practice Address - Phone:206-590-2300
Practice Address - Fax:206-590-6230
Is Sole Proprietor?:No
Enumeration Date:2009-08-17
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA600931752251X0800X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic