Individual
KODI SMITH DOTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6613 S CHEYENNE ST, TACOMA, WA 98409-1557
(253) 370-6774
Mailing address
6613 S CHEYENNE ST, TACOMA, WA 98409-1557
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
04/26/2021
Last updated
04/26/2021
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