Provider Demographics
NPI:1013990969
Name:DOBBS, ALEXA GAYLE (PT)
Entity Type:Individual
Prefix:
First Name:ALEXA
Middle Name:GAYLE
Last Name:DOBBS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10330 MERIDIAN AVE. N
Mailing Address - Street 2:SUITE 380
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98133
Mailing Address - Country:US
Mailing Address - Phone:206-368-6130
Mailing Address - Fax:206-368-6120
Practice Address - Street 1:10330 MERIDIAN AVE. N
Practice Address - Street 2:SUITE 380
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98133
Practice Address - Country:US
Practice Address - Phone:206-368-6130
Practice Address - Fax:206-368-6120
Is Sole Proprietor?:No
Enumeration Date:2005-11-23
Last Update Date:2010-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00000921225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7008006Medicaid
WA234167OtherLABOR & INDUSTRIES
WA7008006Medicaid