Individual
JENNA L KOKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
202 WHITE AVE, WINTHROP, WA 98862-9774
(509) 996-8234
(509) 996-2193
Mailing address
PO BOX 814, WINTHROP, WA 98862-0814
(509) 996-8234
(509) 996-2193
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60290704
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0298275
L&I
WA
Enumeration date
07/31/2012
Last updated
04/30/2014
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