Provider Demographics
NPI:1497371033
Name:GESCHKE, ANNE
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:GESCHKE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12835 NE BEL RED RD STE 303
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-2625
Mailing Address - Country:US
Mailing Address - Phone:425-615-7771
Mailing Address - Fax:425-615-7779
Practice Address - Street 1:12835 NE BEL RED RD STE 303
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-2625
Practice Address - Country:US
Practice Address - Phone:425-615-7771
Practice Address - Fax:425-615-7779
Is Sole Proprietor?:No
Enumeration Date:2020-06-19
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT61034551225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics