Individual
KODIE MARIE COUNSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1106 WASHINGTON ST, PE CLASSROOM BUILDING 200, CHENEY, WA 99004
(509) 359-6409
Mailing address
7933 38TH PL SE, SNOHOMISH, WA 98290-5202
(850) 723-2443
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
WA
Other
Enumeration date
07/28/2021
Last updated
06/05/2025
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