Healthcare Provider Details

I. General information

NPI: 1982057899
Provider Name (Legal Business Name): KATHRYN CODDINGTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2016
Last Update Date: 01/14/2022
Certification Date: 01/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3214 W MCGRAW ST STE 212
SEATTLE WA
98199-3239
US

IV. Provider business mailing address

2531 29TH AVE S APT 24
SEATTLE WA
98144-5415
US

V. Phone/Fax

Practice location:
  • Phone: 206-453-4882
  • Fax:
Mailing address:
  • Phone: 720-480-5233
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberCG60681495
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: