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General NPI Number Information
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NPI Number | 1194646117
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Entity Type | Organization
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Legal Business Name | COBY PERFORMANCE PLLC
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Dates
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Enumeration Date | 07/24/2026
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Last Update Date | 07/24/2026
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Provider Practice Location Address
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Address Line | 3815 N FRACE AVE
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City | TACOMA
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State | WA
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Zip | 98407-1113
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Country | US
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Telephone | 253-970-2241
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Fax |
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Provider Business Mailing Address
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Address Line | 3815 N FRACE AVE
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City | TACOMA
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State | WA
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Zip | 98407-1113
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Country | US
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Telephone | 253-970-2241
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Fax |
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Authorized Official
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Title or Position | LICENSED PHYSICAL THERAPIST
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Name | JORDAN COBY
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Credential | DPT, PT
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Telephone | 253-970-2241
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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