Individual
MRS. CORIE KORESKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1470 N 16TH AVE, YAKIMA, WA 98902-1381
(509) 574-6050
Mailing address
152503 W NORTH RIVER RD, PROSSER, WA 99350-7210
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160887513
WA
225700000X
Massage Therapist
16072
OR
Other
Enumeration date
10/19/2015
Last updated
05/11/2020
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