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1215131529
CODY THOMAS KENISON
SPOKANE, WA
NPI
1215131529
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT60099101)
Enumeration Date
2007-06-12
Last Update Date
2017-05-01
Business Address
Mr. CODY THOMAS KENISON D.P.T.
201 W NORTH RIVER DR SUITE 510
SPOKANE, WA 99201-2284
Phone number: 509-323-0066
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Mailing Address
Mr. CODY THOMAS KENISON D.P.T.
4220 132ND ST SE SUITE101
MILL CREEK, WA 98012-8999
Phone number: 425-357-9380
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