Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUSAN JENKS, COTA
Active Sole ProprietorSUSAN JENKS, COTA is a Skilled Nursing Facility healthcare provider located in MAPLE VALLEY, Washington. NPI 1245788660 is currently active in the NPPES registry. Verify at CMS.
Skilled Nursing Facility · MAPLE VALLEY, WA
Registration Details
- NPI Number
- 1245788660
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 14, 2016 (9.891807231495 yrs)
- Last Updated
- Sep 14, 2016
- License
-
OC60405133 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
28628 SE 226TH STMAPLE VALLEY, WA, 980386900Browse WA providers · Browse ZIP 98038
- Phone
- 2063037034
- Primary Specialty
-
Skilled Nursing Facility
314000000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.