Provider Demographics
NPI:1972664290
Name:JANICE KAYE ALT, LPT, PS
Entity Type:Organization
Organization Name:JANICE KAYE ALT, LPT, PS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:KAYE
Authorized Official - Last Name:ALT
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:206-524-6975
Mailing Address - Street 1:6235 22ND AVE NE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-6917
Mailing Address - Country:US
Mailing Address - Phone:206-524-6975
Mailing Address - Fax:206-524-9252
Practice Address - Street 1:6235 22ND AVE NE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-6917
Practice Address - Country:US
Practice Address - Phone:206-524-6975
Practice Address - Fax:206-524-9252
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00002892225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAAL1253OtherREGENCE RIDER NUMBER
WA75910OtherWA STATE LABOR & INDUST.
WAAL1253OtherREGENCE RIDER NUMBER