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Organization

ELITE PERFORMANCE AND THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HEIDI LYN KODESKI M.P.T. (OWNER/PHYSICAL THERAPIST)
(206) 999-6331
Entity
Organization

Contact information

Practice address
284 CENTRAL WAY, KIRKLAND, WA 98033-6104
(425) 605-1288
(425) 605-1288
Mailing address
284 CENTRAL WAY, KIRKLAND, WA 98033-6104
(425) 605-1288
(425) 605-1288

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT00008731
WA

Other

Enumeration date
02/29/2016
Last updated
02/29/2016
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