Healthcare Provider Details

I. General information

NPI: 1558199331
Provider Name (Legal Business Name): PAIGE COKER MS, RDN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PAIGE MCKEE

II. Dates (important events)

Enumeration Date: 07/23/2024
Last Update Date: 06/12/2025
Certification Date: 06/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 BELLWETHER WAY STE 223
BELLINGHAM WA
98225-2914
US

IV. Provider business mailing address

1171 E BROADWING LN APT A328
COTTONWOOD HEIGHTS UT
84121-7627
US

V. Phone/Fax

Practice location:
  • Phone: 360-230-8202
  • Fax:
Mailing address:
  • Phone: 801-865-5013
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133VN1501X
TaxonomySports Dietetics Nutrition Registered Dietitian
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: