Individual
MR. CODY THOMAS KENISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
201 W NORTH RIVER DR, SUITE 510, SPOKANE, WA 99201-2284
(509) 323-0066
(509) 323-0067
Mailing address
4220 132ND ST SE, SUITE101, MILL CREEK, WA 98012-8999
(425) 357-9380
(425) 357-9382
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
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