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NPI Code Detail

MEDICARE: JENNA L KOKES PT

MEDICARE: JENNA L KOKES PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT60290704WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10298275OTHERWAL&I

General Provider Information

NPI Number : 1184970832
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNA L KOKES PT
Provider Business Mailing Address
First Line : PO BOX 814
Second Line :
City : WINTHROP
State : WA
Zip : 98862-0814
Country : US
Telephone Number : 509-996-8234
Fax Number : 509-996-2193
Provider Business Practice Location Address
First Line : 202 WHITE AVE
Second Line :
City : WINTHROP
State : WA
Zip : 98862-9774
Country : US
Telephone Number : 509-996-8234
Fax Number : 509-996-2193
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2012
Last Update Date : 04/30/2014

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Directions to “ JENNA L KOKES PT” Practice Location

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