Healthcare Provider Details

I. General information

NPI: 1699054155
Provider Name (Legal Business Name): SHERI COHEN GCFP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/15/2011
Last Update Date: 11/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2366 EASTLAKE AVE E STE 309
SEATTLE WA
98102-3399
US

IV. Provider business mailing address

4010 LEXINGTON PL S
SEATTLE WA
98118-1351
US

V. Phone/Fax

Practice location:
  • Phone: 206-914-4161
  • Fax: 206-858-8861
Mailing address:
  • Phone: 206-914-4161
  • Fax: 206-858-8861

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code226300000X
TaxonomyKinesiotherapist
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code172M00000X
TaxonomyMechanotherapist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: