MR. MARY A KODAK PTA
NPI 1427216928
Physical Therapy Assistant in Coeur D Alene, ID
About Mr. Mary A Kodak Pta NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. MARY A KODAK PTA (NPI 1427216928) is an individual physical therapy assistant in Coeur D Alene, Idaho, licensed in Idaho (PTA 0313) and active in the NPI registry since May 2008.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mary Kodak's NPI number?
The NPI number for Mary Kodak is 1427216928. It was assigned to this individual provider in the NPPES registry on May 30, 2008.
Where is Mary Kodak located?
Mary Kodak practices at 500 W Aqua Ave, Coeur D Alene, ID 83815. The listed phone number is (208) 762-1122.
What is Mary Kodak's specialty?
The primary specialty registered for this NPI is Physical Therapy Assistant with taxonomy code 225200000X.
When was this NPI record last updated?
The NPPES record for Mary Kodak was last updated on May 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.