Individual
PAUL COOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
60766895
WA
225100000X
Physical Therapist
Primary
61081
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2083648
—
WA
05
—
500696826
—
OR
01
—
G8968912
MEDICARE
WA
Enumeration date
07/07/2015
Last updated
07/21/2022
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