Individual
KENNETH A COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
17800 TALBOT RD S, SUITE D, RENTON, WA 98055-5740
(425) 277-9096
(425) 277-1206
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00008275
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8332868
—
WA
Enumeration date
04/10/2006
Last updated
07/10/2015
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