Healthcare Provider Details

I. General information

NPI: 1841743572
Provider Name (Legal Business Name): KARA KOSCO DPT, PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KARA CLOWERS

II. Dates (important events)

Enumeration Date: 07/29/2016
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

414 W BAKERVIEW RD STE 110
BELLINGHAM WA
98226-8180
US

IV. Provider business mailing address

8862 BENDER RD STE 101
LYNDEN WA
98264-8800
US

V. Phone/Fax

Practice location:
  • Phone: 360-752-5551
  • Fax: 360-752-0155
Mailing address:
  • Phone: 360-752-5551
  • Fax: 360-752-0155

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberCP052382T
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberCP059736T
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberP16531
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: