Provider Demographics
NPI:1205235314
Name:ROGERS, ALANA JOSEPHINE (DPT)
Entity type:Individual
Prefix:
First Name:ALANA
Middle Name:JOSEPHINE
Last Name:ROGERS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:ALANA
Other - Middle Name:JOSEPHINE
Other - Last Name:O'FARRELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:515 NE 81ST ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-4153
Mailing Address - Country:US
Mailing Address - Phone:206-330-1885
Mailing Address - Fax:
Practice Address - Street 1:3517 STONE WAY N
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-8923
Practice Address - Country:US
Practice Address - Phone:206-385-0330
Practice Address - Fax:206-681-9963
Is Sole Proprietor?:No
Enumeration Date:2014-08-14
Last Update Date:2020-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT60477748225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist