Provider Demographics
NPI:1558626721
Name:FELDT, ALLISON RUSHING (DPT)
Entity Type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:RUSHING
Last Name:FELDT
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:DR
Other - First Name:ALLISON
Other - Middle Name:MARIE
Other - Last Name:RUSHING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2350 219TH PL SW
Mailing Address - Street 2:
Mailing Address - City:BRIER
Mailing Address - State:WA
Mailing Address - Zip Code:98036-8184
Mailing Address - Country:US
Mailing Address - Phone:206-715-7969
Mailing Address - Fax:
Practice Address - Street 1:320 DAYTON ST STE 112
Practice Address - Street 2:
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98020-3590
Practice Address - Country:US
Practice Address - Phone:206-715-7969
Practice Address - Fax:206-932-4973
Is Sole Proprietor?:No
Enumeration Date:2012-07-12
Last Update Date:2018-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT 60284872225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1558626721Medicaid
OR1558626721Medicaid
WA1558626721Medicaid