Individual
LISA R KOSHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
413 LILLY RD NE, MS: 01B03, OLYMPIA, WA 98506-5133
(360) 493-4159
(360) 493-4470
Mailing address
410 PROVIDENCE LN NE, OLYMPIA, WA 98506-6927
(360) 493-4645
(360) 493-4470
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00009269
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
176707
DEPT OF LABOR & INDUSTRIE
WA
01
—
2540KO
REGENCE BLUE SHILED
WA
01
—
8931101
CRIME VICTIMS
WA
05
—
9638875
—
WA
Enumeration date
07/11/2006
Last updated
07/10/2012
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