Individual
MR. CODY THOMAS KENISON
Active
Individual
MR. CODY THOMAS KENISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60099101
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001KE
REGENCE
WA
01
—
0002KE
REGENCE
WA
01
—
0003KE
REGENCE
WA
01
—
0004KE
REGENCE
WA
01
—
0005KE
REGENCE
WA
01
—
0006KE
REGENCE
WA
01
—
0007KE
REGENCE
WA
01
—
0008KE
REGENCE
WA
01
—
0052KE
REGENCE
WA
01
—
0091KE
REGENCE
WA
01
—
0253448
L&I
WA
01
—
0256347
L&I
WA
01
—
0258152
L&I
WA
01
—
8599995
DSHS
WA
01
—
P00907202
MEDICARE RAILROAD
WA
Enumeration date
06/12/2007
Last updated
05/01/2017
Update your record
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