Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MARY A KODAK, PTA
ActiveMR. MARY A KODAK, PTA is a Occupational Therapist healthcare provider located in COEUR D ALENE, Idaho. NPI 1427216928 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · COEUR D ALENE, ID
Registration Details
- NPI Number
- 1427216928
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 30, 2008 (18.246290206516 yrs)
- Last Updated
- May 30, 2008
- License
-
PTA 0313 (ID)
Practice Information
- Address
-
500 W AQUA AVECOEUR D ALENE, ID, 838157764Browse ID providers · Browse ZIP 83815
- Phone
- 2087621122
- Fax
- 2087621680
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in COEUR D ALENE, ID
| Name | Credential | NPI |
|---|---|---|
| SHARON ANNE CUNNINGHAM | PTA | 1679530513 |
| TRACEY L ALCORN | PTA | 1396941134 |
| STEPHANIE MCCLELLAND | — | 1194921122 |
| KELLI KARLGAARD | — | 1508062464 |
| DAVID HYLTON I | — | 1619174323 |
| KRISTA HARTLEY | PTA | 1124226204 |
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.