Individual
HEIDI ANNE WASHENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
9419 COPPERTOP LOOP NE, BAINBRIDGE ISLAND, WA 98110
(206) 842-2428
(206) 842-2890
Mailing address
9419 COPPERTOP LOOP NE, BAINBRIDGE ISLAND, WA 98110
(206) 842-2428
(206) 842-2890
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00006473
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
135862
DEPT OF LABOR & INDUSTRIE
WA
01
—
5128102
AETNA/LEXINGTON, KY
WA
01
—
810588134-05
KPS HEALTH PLANS
WA
01
—
8524WA
REGENCE BLUE SHIELD
WA
Enumeration date
05/24/2006
Last updated
11/27/2007
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